FORM 1023-EZ for UPPER CUMBERLAND FOR LIFE

Field Data
EIN 84-2069389
Case Number EO-2019248-000241
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UPPER CUMBERLAND FOR LIFE
Organization’s Mailing Address 640 TWELVE OAKS RD
City JAMESTOWN
State TN
ZIP 38556
Accounting period End 12
Primary contact name MARY GAIL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIAN GAIL
PRESIDENT
640 TWELVE OAKS RD
JAMESTOWN TN 38556

Officer/Director/Trustee Two

DONNA DILLON
VICE- PRESIDENT
PO BOX 824
JAMESTOWN TN 38556

Officer/Director/Trustee Three

NANCY MCCARRON
SECRETARY
1240 LOUVAINE RD
JAMESTOWN TN 38556

Officer/Director/Trustee Four

TIMOTHY ELLIOT
TREASURER
154 PHILLIPS SUBDV RD
JAMESTOWN TN 38556

Officer/Director/Trustee Five

ROGER BURKS
DIRECTOR
124 GALLAHER RD
JAMESTOWN TN 38556

Organization’s website WWW.UCFORLIFE.ORG
Organization’s email MARY@UCFORLIFE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 MARIAN GAIL
Signature Title PRESIDENT
Signature Date 9/1/19

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