FORM 1023-EZ for SUMMIT FOUNDATION

Field Data
EIN 81-3718877
Case Number EO-2016333-000229
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUMMIT FOUNDATION
Organization’s Mailing Address 1241 VOLUNTEER PARKWAY SUITE 100
City BRISTOL
State TN
ZIP 37620
Accounting period End 12
Primary contact name ERIC FIELDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC FIELDS
CHAIR
150 EAGLE VIEW PVT DR
BLOUNTVILLE TN 37617

Officer/Director/Trustee Two

ANITA FIELDS
SECRETARY
150 EAGLE VIEW PVT DR
BLOUNTVILLE TN 37617

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/2016
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Conducting Activities Outside of United States Yes
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
Signature Title
Signature Date

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