FORM 1023-EZ for ATOMIC LODGE 1301

Field Data
EIN 27-2894850
Case Number EO-2020234-000153
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ATOMIC LODGE 1301
Organization’s Mailing Address P O BOX 4445
City OAK RIDGE
State TN
ZIP 37830
Accounting period End 12
Primary contact name MABREY R DUFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARY CARTER SR
EXALTED RULER (PRESIDENT)
PO BOX 4445
OAK RIDGE TN 37830

Officer/Director/Trustee Two

ROGER WILLIAMSON
ESTEEM LEADING KNIGHT (VICE PRES)
PO BOX 4445
KNOXVILLE TN 37921

Officer/Director/Trustee Three

MABREY DUFF
FINANCIAL SECRETARY
3206 KINGSMORE DR
OAK RIDGE TN 37830

Officer/Director/Trustee Four

ERNEST COMER
TREASURER
PO BOX 4445
OAK RIDGE TN 37830

Officer/Director/Trustee Five

SAMUEL KIRKPATRICK
TRUSTEE
PO BOX 4445
OAK RIDGE TN 37830

Organization’s website NA
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/1979
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MABREY DUFF
Signature Title FINANCIAL SECRETARY
Signature Date 8/18/2020

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