FORM 1023-EZ for LADY PRIME MARISSA COLEMAN - TENNESSEE

Field Data
EIN 82-2246709
Case Number EO-2017276-000173
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LADY PRIME MARISSA COLEMAN - TENNESSEE
Organization’s Mailing Address 1200 CIRCLE DRIVE
City ELIZABETHTON
State TN
ZIP 37643-1234
Accounting period End 6
Primary contact name THOMAS HOLLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS HOLLY
PRESIDENT
1200 CIRCLE DRIVE
ELIZABETHTON TN 37643-1234

Officer/Director/Trustee Two

STEPHANIE FOWLER
TREASURER
104 PATTERSON LANE
ELIZABETHTON TN 37643-1234

Officer/Director/Trustee Three

BETH DEPEW
SECRETARY
330 WILLOW SPRINGS ROAD
ELIZABETHTON TN 37643-1234

Officer/Director/Trustee Four

STEVE ESTES
VICE PRESIDENT
1109 CLIFFVIEW CIRCLE
JOHNSON CITY TN 37604-1234

Organization’s website
Organization’s email LPMC.TENNESSEE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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