FORM 1023-EZ for THE BASICS PROGRAM

Field Data
EIN 84-3528804
Case Number EO-2019312-000283
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BASICS PROGRAM
Organization’s Mailing Address 163 LYNDHURST DR
City LA VERGNE
State TN
ZIP 37086-3487
Accounting period End 12
Primary contact name DANA BRADLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERRY BRADLEY
PRESIDENT
163 LYNDHURST DR
LA VERGNE TN 37086-3487

Officer/Director/Trustee Two

ERICA RAY
SECRETARY
163 LYNDHURST DR
LA VERGNE TN 37086-3487

Officer/Director/Trustee Three

DENNIS MEEHAN
DIRECTOR
163 LYNDHURST DR
LA VERGNE TN 37086-3487

Officer/Director/Trustee Four

NATASHA MELTON
DIRECTOR
163 LYNDHURST DR
LA VERGNE TN 37086-3487

Officer/Director/Trustee Five

PRINCESS SAMS
DIRECTOR
163 LYNDHURST DR
LA VERGNE TN 37086-3487

Organization’s website N/A
Organization’s email DANARBRADLEY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 JERRY BRADLEY
Signature Title PRESIDENT
Signature Date 11/6/19

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