FORM 1023-EZ for THE FORGET ME NOT FOUNDATION OF NORTHWEST TENNESSEE

Field Data
EIN 82-2281602
Case Number EO-2017209-000363
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE FORGET ME NOT FOUNDATION OF NORTHWEST TENNESSEE
Organization’s Mailing Address 3744 CLEEK ECHO DRIVE
City UNION CITY
State TN
ZIP 38261
Accounting period End 10
Primary contact name TREVOR HURST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BETH COPELAND
PRESIDENT
3744 CLEEK ECHO DRIVE
UNION CITY TN 38261

Officer/Director/Trustee Two

JESSICA ROBINSON
DIRECTOR
1411 CAMPGROUND ROAD
TROY TN 38260

Officer/Director/Trustee Three

BECKY MUELLER
DIRECTOR
304 COLLEGE HIGHT
GREENFIELD TN 38230

Officer/Director/Trustee Four

CANDICE CHANDLER
DIRECTOR
2239 CHANDLER ROAD
UNION CITY TN 38261

Officer/Director/Trustee Five

KATHY KILLEBREW
DIRECTOR
412 EAST BRANSFORD
UNION CITY TN 38261

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E11 - Single Organization Support
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 Yes
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
Signature Title
Signature Date

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