FORM 1023-EZ for AMERICAN ENTHEOGENIC COMMUNITY

Field Data
EIN 84-3359600
Case Number EO-2019291-000189
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMERICAN ENTHEOGENIC COMMUNITY
Organization’s Mailing Address 410 E SPRING ST STE B2
City COOKEVILLE
State TN
ZIP 38501
Accounting period End 12
Primary contact name BRIAN SHEELY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN SHEELY
INCORPORATOR
410 E SPRING ST STE B2
COOKEVILLE TN 38501

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X01 - Alliance/Advocacy Organizations
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 Yes
Compensation of Officer director trustee Yes
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 BRIAN SHEELY
Signature Title INCORPORATOR
Signature Date 10/16/19

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