FORM 1023-EZ for SOUTH TIPTON COUNTY DUGOUT CLUB

Field Data
EIN 62-1668059
Case Number EO-2015282-000379
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH TIPTON COUNTY DUGOUT CLUB
Organization’s Mailing Address P O BOX 257
City ATOKA
State TN
ZIP 38004
Accounting period End 6
Primary contact name JENNIFER PUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHANNON WELCH
PRESIDENT
20 BLOOMFIELD DR
MUNFORD TN 38058

Officer/Director/Trustee Two

LYNN SMITH
VICE PRESIDENT
489 COLTON RIDGE LN
ATOKA TN 38004

Officer/Director/Trustee Three

AMY BROWNING
TREASURER
1172 APPLEBERRY RD
MUNFORD TN 38058

Officer/Director/Trustee Four

KIM MOSS
SECRETARY
45 HILLARY CHERYL CV
MUNFORD TN 38058

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2008
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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