FORM 1023-EZ for CARRIE MAE WILLIAMS CENTER

Field Data
EIN 83-2809281
Case Number EO-2019115-000415
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARRIE MAE WILLIAMS CENTER
Organization’s Mailing Address 904 ARBOR CREEK WAY
City NASHVILLE
State TN
ZIP 37217-5054
Accounting period End 12
Primary contact name SHAUNTAZIA SHORTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAUNTAZIA SHORTER
CHIEF EXECUTIVE OFFICER
904 ARBOR CREEK WAY
NASHVILLE TN 37217-5054

Officer/Director/Trustee Two

KENYA TURNER
CHIEF FINANCIAL OFFICER
904 ARBOR CREEK WAY
NASHVILLE TN 37217-5054

Officer/Director/Trustee Three

ANGELA WILLIAMS
CHIEF OPERATIONS OFFICER
904 ARBOR CREEK WAY
NASHVILLE TN 37217-5054

Officer/Director/Trustee Four

MELODY TURNER
JUNIOR VICE PRESIDENT
904 ARBOR CREEK WAY
NASHVILLE TN 37217-5054

Organization’s website N/A
Organization’s email CARRIEMAEWILLIAMSCENTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 SHAUNTAZIA SHORTER
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 4/23/19

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