FORM 1023-EZ for CENTER HILL MARTIAL AND HEALING ARTS CLUB

Field Data
EIN 83-2725231
Case Number EO-2019053-000224
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTER HILL MARTIAL AND HEALING ARTS CLUB
Organization’s Mailing Address 2580 NASHVILLE HIGHWAY
City SMITHVILLE
State TN
ZIP 37166
Accounting period End 12
Primary contact name AMY SCHWARTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY SCHWARTZ
PRESIDENT
171 HILLVIEW HEIGHTS
DOWELLTOWN TN 37059

Officer/Director/Trustee Two

ELIZABETH NAPIER
TREASURER
3697 NASHVILLE HWY
DOWELLTOWN TN 37059

Officer/Director/Trustee Three

ANDREW WILLIAMSON
SECRETARY
8675 GASSAWAY ROAD
WOODBURY TN 37190

Officer/Director/Trustee Four

MERRIL HARRIS
BOARD MEMBER
720 POSSUM HOLLOW ROAD
DOWELLTOWN TN 37059

Officer/Director/Trustee Five

RICKY TEAL
BOARD MEMBER
2685 KACEY COVE ROAD
SMITHVILLE TN 37166

Organization’s website CEMTERHILLMARTIALARTSCLUB.COM
Organization’s email GREENPASTURESCERAMICS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/18
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AMY SCHWARTZ
Signature Title PRESIDENT
Signature Date 2/20/19

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