FORM 1023-EZ for TENNESSEE CHIROPRACTIC EDUCATION AND RESEARCH FOUNDATION

Field Data
EIN 83-3076865
Case Number EO-2019084-000248
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TENNESSEE CHIROPRACTIC EDUCATION AND RESEARCH FOUNDATION
Organization’s Mailing Address 2123 EIGHTH AVENUE SOUTH
City NASHVILLE
State TN
ZIP 37204
Accounting period End 12
Primary contact name STEPHEN SPRINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIFFANY STEVENS
EXECUTIVE DIRECTOR
2123 8TH AVENUE S
NASHVILLE TN 37204

Officer/Director/Trustee Two

RJ CRAWFORD
PRESIDENT
1364 INTERSTATE DR STE 101
CROSSVILLE TN 38555

Officer/Director/Trustee Three

BROCK MARTIN
VICE PRESIDENT
159 COURT SQUARE
HUNTINGDON TN 38344

Officer/Director/Trustee Four

CHRISTY DIAZ
SECRETARY
211 OLD HICKORY BLVD
NASHVILLE TN 37211

Officer/Director/Trustee Five

JOHN SELF
TREASURER
2911 ESSARY RD STE 100
KNOXVILLE TN 37918

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/18
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 TIFFANY STEVENS
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/21/19

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