FORM 1023-EZ for TENNESSEE PRIME 11

Field Data
EIN 84-4680369
Case Number EO-2020044-000471
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TENNESSEE PRIME 11
Organization’s Mailing Address 422 BULLINGTON ROAD
City CLEVELAND
State TN
ZIP 37311
Accounting period End 12
Primary contact name LESLIE LAMB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SETH ROBERTS
PRESIDENT
5200 HIGH STREET
OOLTEWAH TN 37363

Officer/Director/Trustee Two

DEREK KILDAY
VICE PRESIDENT
1855 IVY BROOK CT
CHATTANOOGA TN 37421

Officer/Director/Trustee Three

KEVIN BURKE
SECRETARY
878 CHEROKEE VALLEY RD
RINGGOLD GA 30736

Officer/Director/Trustee Four

LESLIE LAMB
TREASURER
422 BULLINGTON RD
CLEVELAND TN 37311

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/2020
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 LESLIE LAMB
Signature Title TREASURER
Signature Date 2/11/2020

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