FORM 1023-EZ for FLOH NATION INC

Field Data
EIN 47-2307748
Case Number EO-2014363-000062
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLOH NATION INC
Organization’s Mailing Address 600 FOUNTAINBROOKE CT
City BRENTWOOD
State TN
ZIP 37027-7895
Accounting period End 12
Primary contact name LARRY C HOWLETT CPA FORM 2848
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NAKISHA GUZMAN
PRESIDENT
600 FOUNTAINBROOKE CT
BRENTWOOD TN 37027-7895

Officer/Director/Trustee Two

TARA CLIFT
TREASURER
1005 SCARLET CT
HENDERSONVILLE TN 37075

Officer/Director/Trustee Three

JESSICA GUZMAN
SECRETARY
106 TUSCULUM SQ DR
NASHVILLE TN 37211

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/2014
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 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
Signature Title
Signature Date

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