FORM 1023-EZ for HARPETH HOOPS COOSTER CLUB

Field Data
EIN 47-4258007
Case Number EO-2019212-000228
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HARPETH HOOPS COOSTER CLUB
Organization’s Mailing Address 170 E KINGSTON SPRINGS ROAD
City KINGSTON SPRINGS
State TN
ZIP 37082
Accounting period End 5
Primary contact name AMY CORLEW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY MEADOWS
PRESIDENT
170 E KINGSTON SPRINGS ROAD
KINGSTON SPRINGS TN 37082

Officer/Director/Trustee Two

CINDY MINNIS
VICE PRESIDENT
988 RIDGECREST DRIVE
KINGSTON SPRINGS TN

Officer/Director/Trustee Three

CAROYLN STUART
TREASURER
1049 CROSS COUNTRY DRIVE
KINGSTON SPRINGS TN 37082

Officer/Director/Trustee Four

AMY CORLEW
SECRETARY
2299 CEDAR HILL ROAD
White Bluff TN 37187

Officer/Director/Trustee Five

ERICA JOHNSON
LIASION
170 E KINGSTON SPRINGS ROAD
KINGSTON SPRINGS TN 37082

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/15
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
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 Yes
Correctness Declaration Yes
Signature Name AMY CORLEW
Signature Title SECRETARY
Signature Date 7/29/19
EIN 47-4258007
Case Number EO-2015299-000485
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HARPETH HOOPS CLUB
Organization’s Mailing Address 476 MAGNOLIA CT
City KINGSTON SPRINGS
State TN
ZIP 37082
Accounting period End 6
Primary contact name DAVID S PYRDUM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID PYRDUM
PRESIDENT
476 MAGNOLIA CT
KINGSTON SPRINGS TN 37082

Officer/Director/Trustee Two

BARRY WILLIAMS
VICE PRESIDENT
481 HARPETH MEADOWS DR
KINGSTON SPRINGS TN 37082

Officer/Director/Trustee Three

NOELLE TOLLE
TREASURER
5041 LEANN DR
PEGRAM TN 37143

Officer/Director/Trustee Four

STEPHANIE STAED
SECRETARY
544 CUNNINGHAM CT
KINGSTON SPRINGS TN 37082

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/2015
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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
Signature Title
Signature Date

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