FORM 1023-EZ for WESTERN TENNESSEE A & M

Field Data
EIN 82-1284687
Case Number EO-2019259-000759
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WESTERN TENNESSEE A & M
Organization’s Mailing Address 1490 UNION AVE
City MEMPHIS
State TN
ZIP 38104
Accounting period End 12
Primary contact name KIER THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIER THOMAS
CEO
1490 UNION AVE
MEMPHIS TN 38104

Officer/Director/Trustee Two

PHYLLIS THOMAS
COO
1490 UNION AVE
MEMPHIS TN 38104

Organization’s website WWW.MYWESTAM.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A30 - Media, Communications Organizations
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 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 KIER THOMAS
Signature Title CEO
Signature Date 9/12/19

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