FORM 1023-EZ for FORT CARE INC

Field Data
EIN 84-2071864
Case Number EO-2019288-000243
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORT CARE INC
Organization’s Mailing Address 49 MUSIC SQUARE WEST STE 505
City NASHVILLE
State TN
ZIP 37203
Accounting period End 12
Primary contact name JOHN TENNYSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM MYERS
PRESIDENT
8330 OXBOW RD
WESTERVILLE OH 43082

Officer/Director/Trustee Two

CLIFTON BROWN
VICE PRESIDENT
4778 SANGO RD
CLARKSVILLE TN 37043

Officer/Director/Trustee Three

THERESA JARVIS
TREASURER
935 LINDA DR
OAK GROVE KY 42262

Officer/Director/Trustee Four

FLOYD MITCHEL
SECRETARY
1800 JACKIE LORRAINE DR
CLARKSVILLE TN 42262

Officer/Director/Trustee Five

JOHN TENNYSON
ATTORNEY
3701 BILTMORE CT
MOUNT JULIET TN 37122

Organization’s website WWW.FORTCARE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHN TENNYSON
Signature Title ATTORNEY
Signature Date 10/10/19

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