FORM 1023-EZ for HEART GALLERY OF TENNESSEE

Field Data
EIN 84-2184174
Case Number EO-2020062-000468
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEART GALLERY OF TENNESSEE
Organization’s Mailing Address 1668 FARMINGTON DRIVE
City COOKEVILLE
State TN
ZIP 38501
Accounting period End 6
Primary contact name JAMI THORNSBERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMI THORNSBERRY
PRESIDENT
1668 FARMINGTON DRIVE
COOKEVILLE TN 38501

Officer/Director/Trustee Two

LINDA MCDANIEL
TREASURER
3938 HILLTOP DRIVE
COOKEVILLE TN 38506

Officer/Director/Trustee Three

HEATHER GREY
SECRETARY
1775 PEBBLESTONE WAY
COOKEVILLE TN 38506

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/8/2019
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T01 - Alliance/Advocacy Organizations
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMI THORNSBERRY
Signature Title PRESIDENT
Signature Date 2/28/2020

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