FORM 1023-EZ for FRIENDS OF SEVEN ISLANDS STATE BIRDING PARK INC

Field Data
EIN 47-4787578
Case Number EO-2015246-000258
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF SEVEN ISLANDS STATE BIRDING PARK INC
Organization’s Mailing Address 422 W CUMBERLAND AVENUE
City KNOXVILLE
State TN
ZIP 37902
Accounting period End 12
Primary contact name GREG HALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MORTON MASSEY
PRESIDENT/DIRECTOR
6932 WESTLAND DR
KNOXVILLE TN 37919

Officer/Director/Trustee Two

CAROL EVANS
SECRETARY/TREASURER/DIRECTOR
9400 VOLUNTEER LANDING
KNOXVILLE TN 37915

Officer/Director/Trustee Three

H PETER CLAUSSEN
CHAIRMAN/ DIRECTOR
422 W CUMBERLAND AVE
KNOXVILLE TN 37902

Officer/Director/Trustee Four

DAWN COPPOCK
DIRECTOR
2101 DOANE LN
STRAWBERRY PLAINS TN 37871

Officer/Director/Trustee Five

SAM VENABLE
DIRECTOR
11915 YARNELL RD
KNOXVILLE TN 37932

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2015
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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