FORM 1023-EZ for ATH INC

Field Data
EIN 84-4539330
Case Number EO-2020052-000266
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ATH INC
Organization’s Mailing Address 113 PHILLIPS STREET
City JACKSON
State TN
ZIP 38301
Accounting period End 6
Primary contact name KENDRA HARVEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENDRA HARVEY
CHAIRMAN
113 PHILLIPS STREET
JACKSON TN 38301

Officer/Director/Trustee Two

TIFFANY GREER
BOARD MEMBER
123 MCINTOSH DRIVE
JACKSON TN 38305

Officer/Director/Trustee Three

JURICUS BOYD
BOARD MEMBER
4434 SOCIETY ROAD
ARLINGTON TN 38002

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/2020
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
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 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 KENDRA HARVEY
Signature Title CHAIRMAN
Signature Date 2/19/2020

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