FORM 1023-EZ for TELLICO PLAINS JAM

Field Data
EIN 83-3580760
Case Number EO-2019051-000406
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TELLICO PLAINS JAM
Organization’s Mailing Address 207 STOUT ST
City TELLICO PLAINS
State TN
ZIP 37385-5024
Accounting period End 12
Primary contact name JOSEPH BRAKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH BRAKE
PRESIDENT
207 STOUT ST
TELLICO PLAINS TN 37385-5024

Officer/Director/Trustee Two

DIANA BRAKE
SECRETARY
207 STOUT ST
TELLICO PLAINS TN 37385-5024

Officer/Director/Trustee Three

DIANA BRAKE
TREASURER
207 STOUT ST
TELLICO PLAINS TN 37385-5024

Organization’s website
Organization’s email JPBRAKE5@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts Education
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 JOSEPH BRAKE
Signature Title PRESIDENT
Signature Date 2/18/19

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