FORM 1023-EZ for BLUE LINE TENNESSEE INC

Field Data
EIN 84-2974431
Case Number EO-2019281-000265
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE LINE TENNESSEE INC
Organization’s Mailing Address 280 ALLISON DR
City HARRIMAN
State TN
ZIP 37748
Accounting period End 8
Primary contact name JOHN EDGAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN EDGAR
PRESIDENT/ CEO
280 ALLISON DR
HARRIMAN TN 37748

Officer/Director/Trustee Two

CHARLES COLE
VICE PRESIDENT FUNDRAISING
8006 STONE HOLLOW DR
KNOXVILLE TN 37924

Officer/Director/Trustee Three

RICK DRYSDALE
VICE PRESIDENT OPERATIONS
1619 BRAHMAN LANE
SEYMOUR TN 37865

Officer/Director/Trustee Four

DEBORAH ROGERS
VICE PRESIDENT COMMUNICATIONS
3039 GIBBS DR
KNOXVILLE TN 37918

Officer/Director/Trustee Five

KATHY DRYSDALE
SECRETARY/TREASURER
1619 BRAHMAN LANE
SEYMOUR TN 37865

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 JOHN EDGAR
Signature Title PRESIDENT/ CEO
Signature Date 10/3/19

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