FORM 1023-EZ for UPPER CUMBERLAND REGIONAL COUNCIL OF FIRE CHIEFS

Field Data
EIN 35-2711652
Case Number EO-2021246-000228
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UPPER CUMBERLAND REGIONAL COUNCIL OF FIRE CHIEFS
Organization’s Mailing Address 141 HENRY AVE
City CROSSVILLE
State TN
ZIP 38555-4470
Accounting period End 12
Primary contact name JERRY O POTTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS SOUTH
PRESIDENT
141 HENRY AVE
CROSSVILLE TN 38555

Officer/Director/Trustee Two

MATT WHITE
VICE-PRESIDENT
P O BOX 335
BAXTER TN 38544

Officer/Director/Trustee Three

CHARLES PARKER
SECRETARY TREASURER
104 EAST MAIN STREET
SMITHVILLE TN 37166

Officer/Director/Trustee Four

JERRY POTTER
GENERAL COUNSEL
6575 FEATHERS CHAPEL DRIVE
SOMERVILLE TN 38068

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/2021
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M24 - Fire Prevention, Protection, Control
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 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 JERRY POTTER
Signature Title GENERAL COUNSEL
Signature Date 9/1/2021

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