FORM 1023-EZ for TENNESSEE PREMIER SOCCER ACADEMY INC

Field Data
EIN 85-1632983
Case Number EO-2021093-000855
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TENNESSEE PREMIER SOCCER ACADEMY INC
Organization’s Mailing Address 309 N FORREST AVE
City LOOKOUT MOUNTAIN
State TN
ZIP 37350
Accounting period End 12
Primary contact name MICHELLE COAKLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE COAKLEY
TREASURER
309 N FORREST AVE
LOOKOUT MOUNTAIN TN 37350-1221

Officer/Director/Trustee Two

THOMAS BLEVINS
COMMISSIONER
281 RIVERS EDGE RD
DUNLAP TN 37327

Officer/Director/Trustee Three

ALLEN BIBLE
DEPUTY COMMISSIONER
4 MAJESTIC OAKS DRIVE
SIGNAL MTN TN 37377

Officer/Director/Trustee Four

ROBYN GAMACHE
SECRETARY
181 HAMPTON WAY
RISING FAWN GA 30738

Organization’s website psa.chattanooga.com
Organization’s email premiersoccerchattanooga@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/2020
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHELLE COAKLEY
Signature Title TREASURER
Signature Date 3/3/2021

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