FORM 1023-EZ for MIDDLE TENNESSEE CARES

Field Data
EIN 81-1383055
Case Number EO-2016042-000114
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIDDLE TENNESSEE CARES
Organization’s Mailing Address PO BOX 674
City MOUNT JULIET
State TN
ZIP 37121
Accounting period End 12
Primary contact name JEREMY H G HAYES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEREMY HAYES
PRESIDENT
133 NOEL COVE CIR
HERMITAGE TN 37076

Officer/Director/Trustee Two

GLADYS HAYES
TREASURER
120 SOUTH WEST COOK ROAD
MOUNT JULIET TN 37122

Officer/Director/Trustee Three

CANDICE HAYES
SECRETARY
133 NOEL COVE CIR
HERMITAGE TN 37076

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/2016
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 Yes
Gaming Activity No
Disaster relief assistance Yes
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
Signature Title
Signature Date

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