FORM 1023-EZ for ASSISTING COMMUNITIES TOGETHER-COMMUNITY ADVISORY BOARD

Field Data
EIN 84-1889347
Case Number EO-2019163-000254
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASSISTING COMMUNITIES TOGETHER-COMMUNITY ADVISORY BOARD
Organization’s Mailing Address 350 PAGEANT LANE STE 401
City CLARKSVILLE
State TN
ZIP 37040
Accounting period End 12
Primary contact name JACQUELINE TODD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELVIN BECKMAN
CHAIR (CEO)
350 PAGEANT LANE SUITE 401
CLARKSVILLE TN 37040

Officer/Director/Trustee Two

HEATHER DAMAR
PRESIDENT
350 PAGEANT LANE SUITE 401
CLARKSVILLE TN 37040

Officer/Director/Trustee Three

JACQUELINE TODD
TREASURER
350 PAGEANT LANE SUITE 401
CLARKSVILLE TN 37040

Officer/Director/Trustee Four

JACKLYN LYNCH
SECRETARY
350 PAGEANT LANE SUITE 401
CLARKSVILLE TN 37040

Officer/Director/Trustee Five

REBECCA CROSS
ASST. SECRETARY
350 PAGEANT LANE SUITE 401
CLARKSVILLE TN 37040

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/18
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 JACQUELINE TODD
Signature Title TREASURER
Signature Date 6/10/19

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