FORM 1023-EZ for SOCK IT TO EPILEPSY INC

Field Data
EIN 81-3300772
Case Number EO-2016251-000012
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOCK IT TO EPILEPSY INC
Organization’s Mailing Address 9111 EDGEWATER RD
City CHATTANOOGA
State TN
ZIP 37416
Accounting period End 12
Primary contact name SHAWN MARIE CAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWN CAYLOR
EXECUTIVE DIRECTOR
9113 EDGEWATER RD
CHATTANOOGA TN 37416-1306

Officer/Director/Trustee Two

SUZETTE BELL
BOARD CHAIR
57 MILL STONE LANE
RINGGOLD GA 30736-9067

Organization’s website WWW.SOCKITTOEPILEPSYCHATTANOOGA.ORG
Organization’s email SOCKITTOEPILEPSYCHATTANOOGA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/2016
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H54 - Epilepsy Research
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 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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