FORM 1023-EZ for MAIN STREET PULASKI INC

Field Data
EIN 62-1190393
Case Number EO-2016088-000515
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAIN STREET PULASKI INC
Organization’s Mailing Address 110 NORTH SECOND STREET
City PULASKI
State TN
ZIP 38478
Accounting period End 12
Primary contact name JESSIE PARKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICKY KEITH
PRESIDENT
105 OWL HOLLOW ROAD
PULASKI TN 38478

Officer/Director/Trustee Two

JESSIE PARKER
CHIEF EXECUTIVE OFFICER
110 NORTH SECOND STREET
PULASKI TN 38478

Officer/Director/Trustee Three

TIFFANY HAGOOD
PROGRAM DIRECTOR
110 NORTH SECOND STREET
PULASKI TN 38478

Officer/Director/Trustee Four

ERIN CURRY
VICE PRESIDENT
122 SOUTH FIRST STREET
PULASKI TN 38478

Officer/Director/Trustee Five

MARY ANN TRIMBLE
BOARD MEMBER
300 BENNETT DRIVE
PULASKI TN 38478

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2016
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: No
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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