FORM 1023-EZ for THE NU VISION HEALTH FOUNDATION INC

Field Data
EIN 84-2286654
Case Number EO-2019261-000165
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE NU VISION HEALTH FOUNDATION INC
Organization’s Mailing Address 3948 ALEXIS CIRCLE
City CHATTANOOGA
State TN
ZIP 37406
Accounting period End 12
Primary contact name DR GEORGE CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEJUAN J SEAY
PRESIDENT/ FOUNDER
3948 ALEXIS CIRCLE
CHATTERNOOGA TN 37406

Officer/Director/Trustee Two

EFFIE M SEAY
VICE PRESIDENT
3948 ALEXIS CIRCLE
CHATTANOOGA TN 37406

Officer/Director/Trustee Three

MAURICE WILIS
TREASURER
3948 ALEXIS CIRCLE
CHATTANOOGA TN 37406

Officer/Director/Trustee Four

ADRIAN LUDY
SECRETARY
3948 ALEXIS CIRCLE
CHATTANOOGA TN 37406

Officer/Director/Trustee Five

SHARON SEAY WHITELOW
BOARD MEMBER
3948 ALEXIS CIRCLE
CHATTANOOGA TN

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEJUAN J SEAY
Signature Title PRESIDENT/ FOUNDER
Signature Date 9/16/19
EIN 84-2286654
Case Number EO-2019268-000306
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE OLE PATH IMTERNATIONAL MINISTRIES INC
Organization’s Mailing Address 1215 WHITTEN RD
City BARTLETT
State TN
ZIP 38134
Accounting period End 12
Primary contact name DR GEORGE CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ENNIS HACKETT JR
PRESIDENT/ FOUNDER
1215 WHITTEN RD
BARTLETT TN 38134

Officer/Director/Trustee Two

TERESA R HACKETT
VICE PRESIDENT
1215 WHITTEN RD
BARTLETT TN 38134

Officer/Director/Trustee Three

STEPHEN SPENCER JR
TREASURER
1215 WHITTEN RD
BARTLETT TN 38134

Officer/Director/Trustee Four

SHAUGHNESSY WILLIAMS
SECRETARY
1215 WHITTEN RD
BARTLETT TN 38134

Officer/Director/Trustee Five

JOSHUA HACKETT
BOARD MEMBER
1215 WHITTEN RD
BARTLETT TN 38134

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ENNIS HACKETT JR
Signature Title PRESIDENT/ FOUNDER
Signature Date 9/23/19

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