FORM 1023-EZ for POWELL FOOTBALL LETTERMENS CLUB

Field Data
EIN 83-0980062
Case Number EO-2019116-000152
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POWELL FOOTBALL LETTERMENS CLUB
Organization’s Mailing Address 2136 W EMORY RD
City POWELL
State TN
ZIP 37849
Accounting period End 12
Primary contact name BRENT NOLAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN BAILEY
VP
2522 W EMORY RD
POWELL TN 37849

Officer/Director/Trustee Two

KELLY ROBERTSON
TREASURER
401 E BRUSHY VALLEY RD
POWELL TN 37849

Officer/Director/Trustee Three

CURTIS COLE
PRESIDENT
1427 GREENWELL DR
KNOXVILLE TN 37938

Organization’s website
Organization’s email PHSFOOTBALL18@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/18
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: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KELLY ROBERTSON
Signature Title TREASURER
Signature Date 4/23/19

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