FORM 1023-EZ for UPPER CUMBERLAND TOURISM GROUP INC

Field Data
EIN 82-2647471
Case Number EO-2017244-000169
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UPPER CUMBERLAND TOURISM GROUP INC
Organization’s Mailing Address 420 WEST MAIN STREET
City LEBANON
State TN
ZIP 37087
Accounting period End 12
Primary contact name ROYCE A BELCHER CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM KAUFMAN
CHAIRMAN
341 GUNTER LANE
LIBERTY TN 37095

Officer/Director/Trustee Two

REBECCA PASCHAL
SECRETARY
125 POPLAR DRIVE
BRUSH CREEK TN 38547

Officer/Director/Trustee Three

KARLA CLARKE
TREASURER
717 DIXIE PARK DRIVE
COOKEVILLE TN 38501

Officer/Director/Trustee Four

RUTH DYAL
EXECUTIVE DIRECTOR
311 TAYLOR CIRCLE
COOKEVILLE TN 38506

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S30 - Economic Development
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
Signature Title
Signature Date

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