FORM 1023-EZ for CASA OF DICKSON COUNTY

Field Data
EIN 47-5058982
Case Number EO-2015264-000449
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CASA OF DICKSON COUNTY
Organization’s Mailing Address 111 HIGHWAY 70 EAST
City DICKSON
State TN
ZIP 37055
Accounting period End 6
Primary contact name MEAGAN FRAZIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MEAGAN FRAZIER
CHAIRMAN
111 HIGHWAY 70 EAST
DICKSON TN 37055

Officer/Director/Trustee Two

DUSTIN GREEN
VICE CHAIRMAN
111 HIGHWAY 70 EAST
DICKSON TN 37055

Officer/Director/Trustee Three

JESSICA HOPPER
SECRETARY
111 HIGHWAY 70 EAST
DICKSON TN 37055

Officer/Director/Trustee Four

DEBBIE STREET
TREASURER
111 HIGHWAY 70 EAST
DICKSON TN 37055

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/2015
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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
Signature Title
Signature Date

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