FORM 1023-EZ for P54 INC

Field Data
EIN 81-4993206
Case Number EO-2017037-000414
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name P54 INC
Organization’s Mailing Address 612 W DUE WEST AVE
City MADISON
State TN
ZIP 37115
Accounting period End 12
Primary contact name BART WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BART WILLIAMS
PRESIDENT
864 LORETTA DRIVE
GOODLETTSVILLE TN 37072

Officer/Director/Trustee Two

DONNISS LEATHERS
SECRETARY
1838 OLD SPRINGFIELD HWY
GREENBRIER TN 37072

Officer/Director/Trustee Three

SONJA WILLIAMS
DIRECTOR
864 LORETTA DRIVE
GOODLETTSVILLE TN 37072

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
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 Yes
One Third Support Public Yes
One Third Support Gifts No
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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