FORM 1023-EZ for ACRG COMMUNITY DEVELOPMENT CORPORATION

Field Data
EIN 81-1889226
Case Number EO-2016083-000481
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ACRG COMMUNITY DEVELOPMENT CORPORATION
Organization’s Mailing Address 4264 SANDSTONE DR
City ANTIOCH
State TN
ZIP 37013
Accounting period End 12
Primary contact name TIMOTHY OTIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIMOTHY OTIS
PRESIDENT/CEO
4264 SANDSTONE
ANTIOCH TN 37013

Officer/Director/Trustee Two

JAMES ANGUS
VICE PRESIDENT
1302 QUAIL CT EAST
NASHVILLE TN 37214

Officer/Director/Trustee Three

JEANETTE HAYMER
SECRETARY
106 BLOSSOMS
MURFREESBORO TN 37129

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/2016
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 Yes
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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