FORM 1023-EZ for TENNESSEE ASSOCIATION FOR STUDENT SUCCESS AND RETENTION

Field Data
EIN 45-3370519
Case Number EO-2018317-000073
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TENNESSEE ASSOCIATION FOR STUDENT SUCCESS AND RETENTION
Organization’s Mailing Address 10915 HARDIN VALLEY ROAD
City KOXVILLE
State TN
ZIP 37933
Accounting period End 6
Primary contact name MARY MONROE-ELLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY MONROE-ELLIS
PRESIDENT
10915 HARDIN VALLEY ROAD
KOXVILLE TN 37933

Officer/Director/Trustee Two

AMY TANKERSLEY
PRESIDENT ELECT
10915 HARDIN VALLEY ROAD
KOXVILLE TN 37933

Officer/Director/Trustee Three

KACIE ELLIS
TREASURER
601 COLLEGE STREET
CLARKSVILLE TN 37044

Officer/Director/Trustee Four

SUZANNE ETHERIDGE
SECRETARY
10915 HARDIN VALLEY ROAD
KOXVILLE TN 37933

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/18
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 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 Yes
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARY MONROE-ELLIS
Signature Title PRESIDENT
Signature Date 11/8/18

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