FORM 1023-EZ for FRIENDS OF THE DELTA HERITAGE CENTER

Field Data
EIN 47-3497049
Case Number EO-2015110-000266
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF THE DELTA HERITAGE CENTER
Organization’s Mailing Address PO BOX 1358
City BROWNSVILLE
State TN
ZIP 38012-1358
Accounting period End 12
Primary contact name DA EATON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DA EATON
PRESIDENT
491 COUNTRY CLUB ROAD
BROWNSVILLE TN 38012-6825

Officer/Director/Trustee Two

DOROTHY GRANBERRY
VICE-PRESIDENT
2197 CHARLESTON ROAD
STANTON TN 38069

Officer/Director/Trustee Three

MARY HINES
SECRETARY
512 REID AVENUE
BROWNSVILLE TN 38012

Officer/Director/Trustee Four

SONIA OUTLAW-CLARK
TREASURER
7639 POPLAR CORNER ROAD
BELLS TN 38006

Officer/Director/Trustee Five

JERRY WILSON
DIRECTOR
1459 EAST MAIN STREET
BROWNSVILLE TN 38012

Organization’s website N/A
Organization’s email SOUTLAWCLARK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2015
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - 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 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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