FORM 1023-EZ for HARPETH VOLLEYBALL CLUB

Field Data
EIN 46-3484775
Case Number EO-2016103-000096
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HARPETH VOLLEYBALL CLUB
Organization’s Mailing Address PO BOX 155
City KINGSTON SPRINGS
State TN
ZIP 37082-0155
Accounting period End 12
Primary contact name KRISTI GILBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KRISTI GILBERT
TREASURER
1022 CHAMPION HILLS DR
KINGSTON SPRINGS TN 37082

Officer/Director/Trustee Two

KELLY BRIGGS
SECRETARY
134 TIMBER RUN TRAIL
PEGRAM TN 37143

Officer/Director/Trustee Three

VICTORIA PRICE
VICE PRESIDENT
5557 QUAIL COVEY RD
PEGRAM TN 37143

Officer/Director/Trustee Four

LANCE SMITH
PRESIDENT
149 SCENIC HARPETH DR
KINGSTON SPRINGS TN 37082

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/2013
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 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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