FORM 1023-EZ for CHEATHAM COUNTY KIDS INC

Field Data
EIN 47-3071673
Case Number EO-2016040-000121
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHEATHAM COUNTY KIDS INC
Organization’s Mailing Address 105 ASHLAND DRIVE
City ASHLAND CITY
State TN
ZIP 37035-1730
Accounting period End 6
Primary contact name REBECCA SHELTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

REBECCA SHELTON
PRESIDENT
1417 SPRING CREEK RD
CHAPMANSBORO TN 37035-5426

Officer/Director/Trustee Two

TERESA BRUNKER
TREASURER
105 ASHLAND DRIVE
ASHLAND CITY TN 37015-1730

Officer/Director/Trustee Three

CHRISTINA GILLIAM
SECRETARY
109 ASHLAND COURT
ASHLAND CITY TN 37015-1729

Officer/Director/Trustee Four

CLAUDETTE FIZER
DIRECTOR
1016 GAYLE LANE
ASHLAND CITY TN 37015-2625

Officer/Director/Trustee Five

LILY WELLINGTON
DIRECTOR
1721 OLD CLARKSVILLE PIKE
CHAPMANSBORO TN 37035-5113

Organization’s website WWW.CHEATHAMCOUNTYKIDS.COM
Organization’s email CHEATHAMCOUNTYKIDS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/2015
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
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 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 No
One Third Support Gifts Yes
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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