FORM 1023-EZ for NASHVILLE LAUNCH PAD INC

Field Data
EIN 81-3538014
Case Number EO-2016251-000043
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NASHVILLE LAUNCH PAD INC
Organization’s Mailing Address 444 EZELL PIKE
City NASHVILLE
State TN
ZIP 37217
Accounting period End 12
Primary contact name TRACY D KANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEREK GIBSON
DIRECTOR/PRESIDENT
444 EZELL PIKE
NASHVILLE TN 37217

Officer/Director/Trustee Two

MONICA STARRETT
DIRECTOR/VICE PRESIDENT
4110 NEBRASKA AVENUE
NASHVILLE TN 37209

Officer/Director/Trustee Three

LUIS RODRIGUEZ
DIRECTOR/SECRETARY
700 CHURCH STREET SUITE 206
NASHVILLE TN 37203

Officer/Director/Trustee Four

OSVALDO GONZALEZ
DIRECTOR/TREASURER
P O BOX 330596
NASHVILLE TN 37203

Officer/Director/Trustee Five

LYNDSEY GODWIN
DIRECTOR
104 CHEYENNE COURT
MADISON TN 37115

Organization’s website WWW.NASHVILLELAUNCHPAD.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2016
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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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