FORM 1023-EZ for AVERY TRACE MIDDLE SCHOOL BAND BOOSTERS

Field Data
EIN 81-5225563
Case Number EO-2017121-000352
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AVERY TRACE MIDDLE SCHOOL BAND BOOSTERS
Organization’s Mailing Address 230 RAIDER DRIVE
City COOKEVILLE
State TN
ZIP 38501
Accounting period End 6
Primary contact name TIFFANY FOWLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIFFANY FOWLER
PRESIDENT
230 RAIDER DRIVE
COOKEVILLE TN 38501

Officer/Director/Trustee Two

HOLLY WILMOTH
VICE PRESIDENT
230 RAIDER DRIVE
COOKEVILLE TN 38501

Officer/Director/Trustee Three

DANIEL COONCE
TREASURER
230 RAIDER DRIVE
COOKEVILLE TN 38501

Officer/Director/Trustee Four

JESSICA OWSLEY
SECRETARY
230 RAIDER DRIVE
COOKEVILLE TN 38501

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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