FORM 1023-EZ for LIVE FREE - CLAIBORNE

Field Data
EIN 85-1705591
Case Number EO-2020203-000200
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVE FREE - CLAIBORNE
Organization’s Mailing Address 1216 CEDAR FORK RD
City TAZEWELL
State TN
ZIP 37879
Accounting period End 12
Primary contact name SUSAN STONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KYLE PRICHARD
CHAIRMAN
171 LAKEVIEW CIRCLE
SHARPS CHAPEL TN 37866

Officer/Director/Trustee Two

DON FRICKE
VICE-CHAIRMAN
P O BOX 769
TAZEWELL TN 37879

Officer/Director/Trustee Three

ELORA PRICHARD
SECRETARY/TREASURER
171 LAKEVIEW CIRCLE
SHARPS CHAPEL TN 37866

Officer/Director/Trustee Four

ERIC LANDRY
BOARD MEMBER
1620 HWY 73
NEWPORT TN 37821

Officer/Director/Trustee Five

ETTA BAKER
BOARD MEMBER
310 S BARTON ST
JOHNSON CITY TN 37604

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2020
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 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 KYLE PRICHARD
Signature Title CHAIRMAN
Signature Date 7/16/2020

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