FORM 1023-EZ for MARK COLLIE FOUNDATION INC

Field Data
EIN 62-6283662
Case Number EO-2020021-000245
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MARK COLLIE FOUNDATION INC
Organization’s Mailing Address 1102 HILLENDALE ROAD
City JOHNSON CITY
State TN
ZIP 37615
Accounting period End 12
Primary contact name BRENDA ROSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK COLLIE
PRESIDENT
140 REDWOOD DRIVE
NASHVILLE TN 37205

Officer/Director/Trustee Two

DAVID COLLIE
VICE PRESIDENT
1129 DAVIDSON WALK
SPRING HILL TN 37174

Officer/Director/Trustee Three

BRENDA ROSE
SEC-TRES & EXECUTIVE DIRECTOR
1102 HILLENDALE RD
JOHNSON CITY TN 37615

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/1997
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name BRENDA ROSE
Signature Title SEC-TRES & EXECUTIVE DIRECTOR
Signature Date 1/16/2020

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