FORM 1023-EZ for PRESERVE SUMNER COUNTY

Field Data
EIN 81-3957364
Case Number EO-2016272-000326
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PRESERVE SUMNER COUNTY
Organization’s Mailing Address 420 E MAIN ST
City GALLATIN
State TN
ZIP 37066
Accounting period End 12
Primary contact name RENE VANDER WIELEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GAYLEA MCDOUGAL
PRESIDENT
199 MCDOUGAL LN
GALLATIN TN 37066

Officer/Director/Trustee Two

RENE VANDER WIELEN
CHIEF FINANCIAL OFFICER
1025 WALLACE RD
GALLATIN TN 37066

Officer/Director/Trustee Three

LEE-ANNA MILLER THOMAS
CHAIRPERSON
902 WALLACE RD
GALLATIN TN 37066

Officer/Director/Trustee Four

LINDA TROUT MOTLEY
OFFICER
295 LINDSEY HOLLOW RD
GALLATIN TN 37066

Officer/Director/Trustee Five

MANDY BRIAN MCDOUGAL
OFFICER
1035 SOUTH RIDGE DR
PORTLAND TN 37148

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/2016
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: No
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 Yes
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
Signature Title
Signature Date

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