FORM 1023-EZ for HISTORIC ATKINS PORTER NEIGHBORHOODASSOCIATION

Field Data
EIN 81-2793563
Case Number EO-2016341-000213
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HISTORIC ATKINS PORTER NEIGHBORHOODASSOCIATION
Organization’s Mailing Address 501 DUNLAP ST
City PARIS
State TN
ZIP 38242
Accounting period End 12
Primary contact name NOLA DOUGLAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH ROBERTS
PRESIDENT
404 DUNLAP ST
PA

Officer/Director/Trustee Two

RACHEL TERRELL
VICE PRESIDENT
317 WALNUT ST
PARIS TN 38242

Officer/Director/Trustee Three

SUSAN JONES
SECRETARY
703 WALNUT ST
PARIS TN 38242

Officer/Director/Trustee Four

NOLA DOUGLAS
TREASURER
501 DUNLAP ST
PARIS TN 38242

Organization’s website
Organization’s email ANNETTE.DOUGLAS1162@ICLOUD.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2016
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L50 - Housing Owners, Renters Organizations
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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