FORM 1023-EZ for CHATTANOOGA AREA PSYCHOTHERAPY ASSOCIATION

Field Data
EIN 61-1836257
Case Number EO-2016076-000247
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHATTANOOGA AREA PSYCHOTHERAPY ASSOCIATION
Organization’s Mailing Address 122 LEE PARKWAY DR SUITE105
City CHATTANOOGA
State TN
ZIP 37421
Accounting period End 12
Primary contact name ROY RAGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHERRELL BECHTEL
PRESIDENT
6720 HERITAGE BUSINESS CT 605
CHATTANOOGA TN 37421

Officer/Director/Trustee Two

TAMMY GRAY SMITH
PRESIDENT ELECT
6720 HERITAGE BUSINESS CT 605
CHATTANOOGA TN 37421

Officer/Director/Trustee Three

ROY RAGAN
TREASURER
122 LEE PARKWAY DR 105
CHATTANOOGA TN 37421

Officer/Director/Trustee Four

GARY MAULDIN
SECRETARY
536 S CREST RD
CHATTANOOGA TN 37404

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/2016
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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
Signature Title
Signature Date

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