FORM 1023-EZ for HAYNES HEIGHTS NEIGHBORHOOD ASSOCIATION

Field Data
EIN 82-1146700
Case Number EO-2019322-000540
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAYNES HEIGHTS NEIGHBORHOOD ASSOCIATION
Organization’s Mailing Address 643 WEST NOCTURNE DRIVE
City NASHVILLE
State TN
ZIP 37207-3625
Accounting period End 12
Primary contact name QUINTA MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WINNIFRED FORRESTER
PRESIDENT
2611 SHREEVE LANE
NASHVILLE TN 37207-3625

Officer/Director/Trustee Two

QUINTA MARTIN
VICE PRESIDENT
643 WEST NOCTURNE DRIVE
NASHVILLE TN 37207-3625

Officer/Director/Trustee Three

GAYLE BARBEE
TREASURER
613 MALTA DRIVE
NASHVILLE TN 37207-3625

Officer/Director/Trustee Four

ERIC CAZORT
MEMBER-AT-LARGE
2509 WALKER LANE
NASHVILLE TN 37207-3625

Officer/Director/Trustee Five

RONALD SOARES
MEMBER-AT-LARGE
669 WALKER COURT
NASHVILLE TN 37207-3625

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S22 - Neighborhood, Block Associations
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 QUINTA MARTIN
Signature Title VICE PRESIDENT
Signature Date 11/15/2019

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