FORM 1023-EZ for BACK TO OUR ROOTS
| Field | Data |
|---|---|
| EIN | 84-1730612 |
| Case Number | EO-2019154-000133 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BACK TO OUR ROOTS |
| Organization’s Mailing Address | 571 KEATON RD |
| City | LENOIR CITY |
| State | TN |
| ZIP | 37772 |
| Accounting period End | 12 |
| Primary contact name | MARLA FOSTER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MARLA FOSTER
CO DIRECTOR
571 KEATON RD
LENOIR CITY TN 37742
Officer/Director/Trustee Two
ASHLEE GLASPY
CO DIRECTOR
606 CLINTON STREET
HARRIMAN TN 37748
Officer/Director/Trustee Three
ANGIE VALPATIC
BOARD MEMBER
835 HENRY LN
GREENBACK TN 37742
Officer/Director/Trustee Four
PATTY CRESWELL
BOARD MEMBER
2141 BIG SPRINGS RD
MARYVILLE TN 37801
Officer/Director/Trustee Five
DEBBIE CRESWELL
BOARD MEMBER
PO BOX 1187
POWELL TN 37849
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/30/19 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | K30 - Food Service, Free Food Distribution Programs |
| 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 | ASHLEE GLASPY |
| Signature Title | CO DIRECTOR |
| Signature Date | 5/30/19 |
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