FORM 1023-EZ for FRESHWATER

Field Data
EIN 85-1304350
Case Number EO-2020171-000012
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRESHWATER
Organization’s Mailing Address 2985 HIGHWAY 126
City BLOUNTVILLE
State TN
ZIP 37617
Accounting period End 12
Primary contact name JONATHAN SELLERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONATHAN SELLERS
PRESIDENT
2985 HIGHWAY 126
BLOUNTVILLE TN 37617

Officer/Director/Trustee Two

MATTHEW PRICE
EXECUTIVE DIRECTOR
2985 HIGHWAY 126
BLOUNTVILLE TN 37617

Officer/Director/Trustee Three

NANCY LEICH
SECRETARY/TREASURER
2549 WEAVER PIKE
BRISTOL TN 37620

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/2020
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B19 - Nonmonetary Support N.E.C.
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 JONATHAN SELLERS
Signature Title PRESIDENT
Signature Date 6/17/2020

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