FORM 1023-EZ for JOHNSON COMMUNITY FOUNDATION INC

Field Data
EIN 84-4611712
Case Number EO-2020049-000357
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JOHNSON COMMUNITY FOUNDATION INC
Organization’s Mailing Address 2494 SAUNDERSVILLE FERRY RD
City MOUNT JULIET
State TN
ZIP 37122
Accounting period End 12
Primary contact name KAREN JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAN LANE
OFFICER
3524 WEST HAMILTON AVENUE
NASHVILLE TN 37218

Officer/Director/Trustee Two

KAREN JOHNSON
OFFICER
2928 MOSS SPRING DRIVE
ANTIOCH TN 37013

Officer/Director/Trustee Three

LOVIE GRANT
OFFICER
2494 SAUNDERSVILLE FERRY ROAD
MOUNT JULIET TN 37122

Officer/Director/Trustee Four

HELEN HUGHES
OFFICER
1512 PINEVIEW
NASHVILLE TN 37207

Organization’s website WWW.JOHNSONCOMMUNITYFOUNDATION.ORG
Organization’s email KJOHNSON@JOHNSONCOMMUNITYFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/2020
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A27 - Community Celebrations
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 KAREN JOHNSON
Signature Title OFFICER
Signature Date 2/13/2020

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