FORM 1023-EZ for ASCENSION CENTER INTERNATIONAL INC

Field Data
EIN 82-2976297
Case Number EO-2018043-000285
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASCENSION CENTER INTERNATIONAL INC
Organization’s Mailing Address 85 BURNS LN
City LAVINIA
State TN
ZIP 38348-2201
Accounting period End 12
Primary contact name BARBARA BURNS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARBARA BURNS
PRESIDENT/ FOUNDER/ CEO
85 BURNS LN
LAVINIA TN 38348-2201

Officer/Director/Trustee Two

BELINDA GREEN
TRESURER
85 BURNS LN
LAVINA TN 38348-2201

Officer/Director/Trustee Three

JILL SCHROEDER
BOARD MEMBER
85 BURNS LN
LAVINIA TN 38348-2201

Officer/Director/Trustee Four

BETTY MANN
BOARD MEMBER
85 BURNS LN
LAVINIA TN 38348-2201

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/17
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
Donation of funds No
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
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 BARBARA BURNS
Signature Title PRESIDENT/ FOUNDER/ CEO
Signature Date 2/8/18

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