FORM 1023-EZ for HENRY COUNTY CASA INC
| Field | Data |
|---|---|
| EIN | 82-5327194 |
| Case Number | EO-2018120-000480 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HENRY COUNTY CASA INC |
| Organization’s Mailing Address | 101 W WASHINGTON ST STE 201 |
| City | PARIS |
| State | TN |
| ZIP | 38242 |
| Accounting period End | 6 |
| Primary contact name | DAVID SULLIVAN CPA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MARTHA CAMPBELL
CHAIRMAN
510 OWENWOOD PLACE
PARIS TN 38242
Officer/Director/Trustee Two
JANE ETHERIDGE
VICE CHAIRMAN
860 STILLWATER DR
PARIS TN 38242
Officer/Director/Trustee Three
MARK JOHNSON
TREASURER
906 GREENVALLEY DR
PARIS TN 38242
Officer/Director/Trustee Four
SHERRY SULLIVAN
SECRETARY
455 GUM SPRINGS RD
PARIS TN 38242
Officer/Director/Trustee Five
STEVE GREER
DIRECTOR
PALESTINE RD
PARIS TN 38242
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/29/17 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P30 - Children's, Youth Services |
| Organization’s purpose | Charitable: No Religious: No Educational: No Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: Yes |
| 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 | STEVE GREER |
| Signature Title | DIRECTOR |
| Signature Date | 4/26/18 |
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