FORM 1023-EZ for HEALTHIER CROSSVILLE CUMBERLAND COUNTY

Field Data
EIN 81-3872566
Case Number EO-2018174-000060
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTHIER CROSSVILLE CUMBERLAND COUNTY
Organization’s Mailing Address 190 BURNETT STREET
City CROSSVILLE
State TN
ZIP 38555-4279
Accounting period End 12
Primary contact name BILLY LOGGINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BILLY LOGGINS
PRESIDENT
190 BURNETT STREET
CROSSVILLE TN 38555-4279

Officer/Director/Trustee Two

KATHY HANBY
TREASURER/SECRETARY
3088 KEMMER ROAD
CROSSVILLE TN 38555-4279

Officer/Director/Trustee Three

JENNIFER THOMPSON
VICE-PRESIDENT
1686 HOLIDAY DRIVE
CROSSVILLE TN 38555-4279

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/18
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 BILLY LOGGINS
Signature Title PRESIDENT
Signature Date 6/20/18

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