FORM 1023-EZ for FARRAGUT HIGH NJROTC BOOSTER CLU

Field Data
EIN 47-5288421
Case Number EO-2016116-000295
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FARRAGUT HIGH NJROTC BOOSTER CLU
Organization’s Mailing Address 11237 KINGSTON PIKE
City KNOXVILLE
State TN
ZIP 37934
Accounting period End 5
Primary contact name TIFFANY J KELLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIFFANY KELLEY
PRESIDENT
10943 TOPVIEW LN
KNOXVILLE TN 37934

Officer/Director/Trustee Two

DOUG BALES
VICE PRESIDENT
932 HARBOUR SHORE DR
KNOXVILLE TN 37934

Officer/Director/Trustee Three

MARY BALES
TREASURER
932 HARBOUR SHORE DR
KNOXVILLE TN 37934

Officer/Director/Trustee Four

BRENDA KOCK
SECRETARY
309 AMESBURY RD
KNOXVILLE TN 37934

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/2015
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 Yes
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
Signature Title
Signature Date

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