FORM 1023-EZ for BETA THETA WOMEN SERVICE CLUB

Field Data
EIN 83-1371608
Case Number EO-2018222-000334
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BETA THETA WOMEN SERVICE CLUB
Organization’s Mailing Address 12655 HIGHWAY 67 W
City BUTLER
State TN
ZIP 37640
Accounting period End 12
Primary contact name KATHLEEN CAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHLEEN CAIN
PRESIDENT
12655 HIGHWAY 67 W
BUTLER TN 37640

Officer/Director/Trustee Two

HEIDI KERLY
VICE-PRESIDENT
555 RIDGEVIEW DRIVE
MOUNTAIN CITY TN 37683

Officer/Director/Trustee Three

MITZI MOOBERRY
SECRETARY
998 CRACKERS NECK ROAD
MOUNTAIN CITY TN 37683

Officer/Director/Trustee Four

MARY ALICE NORRIS
TREASURER
147 DOGWOOD AVENUE
MOUNTAIN CITY TN 37683

Organization’s website N/A
Organization’s email CLUBBETATHETA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/18
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S81 - Women's Service Clubs
Organization’s purpose Charitable: Yes
Religious: Yes
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 KATHLEEN CAIN
Signature Title PRESIDENT
Signature Date 8/8/18

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