FORM 1023-EZ for CARTER COUNTY FOSTER CARE ASSOCIATION

Field Data
EIN 58-2247802
Case Number EO-2016259-000210
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARTER COUNTY FOSTER CARE ASSOCIATION
Organization’s Mailing Address 604
City ELIZABETHTON
State TN
ZIP 37644-0604
Accounting period End 12
Primary contact name DALE TESTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DALE TESTER
CEO
458 TIMBER RIDGE ROAD
BLUFF CITY TN 37618

Officer/Director/Trustee Two

DIANA GARLAND
PRESIDENT
491 HUNTING HILL ROAD
PINEY FLATS TN 37686

Officer/Director/Trustee Three

BRENDA WHITE
VICE PRESIDENT
200 MAX JETT ROAD
JOHNSON CITY TN 37601

Officer/Director/Trustee Four

SHERRI JACKSON
SECRETARY
381 GLENN WOOD ROAD
BRISTOL TN 37620

Officer/Director/Trustee Five

LINDA MILHORN
TREASURER
376 WADE BULLA ROAD
WATAUGA TN 37694

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2000
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P32 - Foster Care
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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