FORM 1023-EZ for FAIRFIELD GLADE DOG PARK
| Field | Data |
|---|---|
| EIN | 83-3687570 |
| Case Number | EO-2019057-000429 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | FAIRFIELD GLADE DOG PARK |
| Organization’s Mailing Address | 7827 PEAVINE RD |
| City | CROSSVILLE |
| State | TN |
| ZIP | 38558 |
| Accounting period End | 12 |
| Primary contact name | THOM WOFFORD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JACKIE MEACHAM
PRESIDENT
110 FRIAR LN
CROSSVILLE TN 38558
Officer/Director/Trustee Two
THOM WOFFORD
PRESIDENT
169 DOVENSHIRE DR
CROSSVILLE TN 38558
Officer/Director/Trustee Three
KRISTIN KNIGHT
SECRETARY
154 LYNHURST
CROSSVILLE TN 38558
Officer/Director/Trustee Four
CARMEN DEVAULT
TREASURER
123 RUTGERS CIRCLE
CROSSVILLE TN 38558
Officer/Director/Trustee Five
NANCY CHAPMAN
BOARD MEMBER
146 RUTGERS CIRCLE
CROSSVILLE TN 38558
| Organization’s website | WWW.FAIRFIELDGLADEDOGPARK.COM |
|---|---|
| Organization’s email | DOGPARKBOARD@FAIRFIELDGLADEDOGPARK.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/21/19 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | D99 - Animal-Related N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: Yes |
| 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 | JACKIE MEACHAM |
| Signature Title | PRESIDENT |
| Signature Date | 2/22/19 |
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