FORM 1023-EZ for MOORE COUNTY DIAMOND CLUB

Field Data
EIN 43-1991665
Case Number EO-2016291-000154
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOORE COUNTY DIAMOND CLUB
Organization’s Mailing Address 1502 LYNCHBURG HIGHWAY
City LYNCHBURG
State TN
ZIP 37352
Accounting period End 12
Primary contact name GERALD BURNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GERALD BURNETT
PRESIDENT
393 HILLTOP CIRCLE
TULLAHOMA TN 37388

Officer/Director/Trustee Two

JAMMIE CASHION
VICE PRESIDENT
990 SHORT CREEK ROAD
WINCHESTER TN 37398

Officer/Director/Trustee Three

HEATHER WHITAKER
TREASURER
421 CHAMP ROAD
MULBERRY TN 37369

Officer/Director/Trustee Four

BRENDA SWEETON
SECRETARY
293 OAK HILLS DR
TULLAHOMA TN 37388

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2016
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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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