FORM 1023-EZ for LENOIR CITY PANTHER FOUNDATION

Field Data
EIN 87-1226588
Case Number EO-2021172-000093
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LENOIR CITY PANTHER FOUNDATION
Organization’s Mailing Address 349 GLENBROOK DRIVE
City LENOIR CITY
State TN
ZIP 37771
Accounting period End 12
Primary contact name KEITH STEWART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIMMY MATLOCK
CHAIRMAN
349 GLENBROOK DRIVE
LENOIR CITY TN 37771

Officer/Director/Trustee Two

DON MABRY
VICE CHAIRMAN
349 GLENBROOK DRIVE
LENOIR CITY TN 37771

Officer/Director/Trustee Three

MATTHEW COLEMAN
DIRECTOR
349 GLENBROOK DRIVE
LENOIR CITY TN 37771

Officer/Director/Trustee Four

CHRIS WAMPLER
DIRECTOR
349 GLENBROOK DRIVE
LENOIR CITY TN 37771

Officer/Director/Trustee Five

HOWARD CUSICK
DIRECTOR
349 GLENBROOK DRIVE
LENOIR CITY TN 37771

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2021
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 MATTHEW COLEMAN
Signature Title DIRECTOR
Signature Date 6/16/2021

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