FORM 1023-EZ for ADOPT-A-CLASS TN

Field Data
EIN 84-2532051
Case Number EO-2019213-000255
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADOPT-A-CLASS TN
Organization’s Mailing Address 232 ELOHI WAY
City LOUDON
State TN
ZIP 37774-6907
Accounting period End 6
Primary contact name KAREN HAMERSLAG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN HAMERSLAG
CHIEF OPERATING/FINANCIAL OFFICER
232 ELOHI WAY
LOUDON TN 37774-6907

Officer/Director/Trustee Two

JASON GRAENING
SECRETARY
111 DEPEW DRIVE
LOUDON TN 37774-2965

Organization’s website
Organization’s email ADOPT.A.CLASS.TN@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B24 - Primary, Elementary Schools
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 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 KAREN HAMERSLAG
Signature Title CHIEF OPERATING/FINANCIAL OFFICER
Signature Date 7/30/19

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