FORM 1023-EZ for SAGE IMPACT MINISTRIES

Field Data
EIN 81-3474513
Case Number EO-2016321-000367
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAGE IMPACT MINISTRIES
Organization’s Mailing Address 6000 LANDMARK PLACE
City BRENTWOOD
State TN
ZIP 37027
Accounting period End 12
Primary contact name HAL HADDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIM DOUGLAS
SECRETARY
2744 ROCKWALL ROAD
NASHVILLE TN 37221

Officer/Director/Trustee Two

FRANK WATERS
TREASURE
7000 EXECUTIVE CENTER DRIVE
BRENTWOOD TN 37027

Officer/Director/Trustee Three

JOHN ROSS
VICE PRESIDENT
1110 DAVID DRIVE
FRANKLIN TN 37069

Officer/Director/Trustee Four

HAL HADDEN
PRESIDENT
6000 LANDMARK PLACE
BRENTWOOD TN 37027

Organization’s website
Organization’s email SAGEIMPACTMINISTRIES@GMAIL.COM
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 X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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
Signature Title
Signature Date

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