FORM 1023-EZ for IVYBROOK ACADEMY HENDERSONVILLE PARENT TEACHER ASSOCIATION

Field Data
EIN 87-1054617
Case Number EO-2021223-000228
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IVYBROOK ACADEMY HENDERSONVILLE PARENT TEACHER ASSOCIATION
Organization’s Mailing Address 1006 GLENBROOK WAY STE 140
City HENDERSONVILLE
State TN
ZIP 37075
Accounting period End 12
Primary contact name GAYLORD GARDNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUCAS HELMS
PRESIDENT DIRECTOR
158 GROVE LANE S
HENDERSONVILLE TN 37075

Officer/Director/Trustee Two

AMANDA HELMS
VICE PRESIDENT DIRECTOR
158 GROVES LANE S
HENDERSONVILLE TN 37075

Officer/Director/Trustee Three

RYDER COTTON
TREASURER DIRECTOR
107 LA VIEW RD
HENDERSONVILLE TN 37075

Officer/Director/Trustee Four

JARED NATSIS
SECRETARY DIRECTOR
104 ELISSA DRVIE
HENDERSONVILLE TN 37075

Officer/Director/Trustee Five

JIN YOUNG YOUNG
DIRECTOR
107 LA VIEW RD
HENDERSONVILLE TN 37075

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2021
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AMANDA HELMS
Signature Title VICE PRESIDENT DIRECTOR
Signature Date 8/9/2021

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