FORM 1023-EZ for MIDDLE TN MAGIC

Field Data
EIN 81-2842545
Case Number EO-2016349-000365
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIDDLE TN MAGIC
Organization’s Mailing Address 753 COVE VIEW CIR
City COOKEVILLE
State TN
ZIP 38506
Accounting period End 12
Primary contact name JENNIFER PHIPPS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMIE GILLIES
PRESIDENT
753 COVE VIEW CIR
COOKEVILLE TN 38506

Officer/Director/Trustee Two

AMY CROUCH
TREASURER
753 COVE VIEW CIR
COOKEVILLE TN 38506

Officer/Director/Trustee Three

NISSA SISSOM
SECRETARY
753 COVE VIEW CIR
COOKEVILLE TN 38506

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2016
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 Yes
One Third Support Gifts No
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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