FORM 1023-EZ for REPLENISH2FLOURISH
| Field | Data |
|---|---|
| EIN | 84-2405690 |
| Case Number | EO-2019217-000403 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | REPLENISH2FLOURISH |
| Organization’s Mailing Address | 633 OAKLAND RD |
| City | LIMESTONE |
| State | TN |
| ZIP | 37681 |
| Accounting period End | 12 |
| Primary contact name | BETH ISOM |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BETH ISOM
PRESIDENT/ CEO
633 OAKLAND RD
LIMESTONE TN 37681
Officer/Director/Trustee Two
WILLIAM ISOM
DIRECTOR
633 OAKLAND RD
LIMESTONE TN 37681
Officer/Director/Trustee Three
STEPHANIE COOK
SECRETARY
100 ASHLEY DR
BRISTOL VA 24201
Officer/Director/Trustee Four
KIMBERLY HUGHES
TREASURER
18677 MUSICK DR
BRISTOL VA 24202
Officer/Director/Trustee Five
REBECCA HAYS
DIRECTOR
703 BELVEDERE DR
JOHNSON CITY TN 37604
| Organization’s website | WWW.REPLENISH2FLOURISH.COM |
|---|---|
| Organization’s email | REPLENISH2FLOURISH@OUTLOOK.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/10/19 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X20 - Christian |
| Organization’s purpose | Charitable: No Religious: Yes 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 | BETH ISOM |
| Signature Title | PRESIDENT/ CEO |
| Signature Date | 8/2/19 |
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