FORM 1023-EZ for THE SULLIVAN RECREATION ASSOCIATION

Field Data
EIN 62-1146774
Case Number EO-2017009-000282
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE SULLIVAN RECREATION ASSOCIATION
Organization’s Mailing Address PO BOX 2265
City KINGSPORT
State TN
ZIP 37662-2265
Accounting period End 12
Primary contact name MIKE GRAGG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKE GRAGG
PRESIDENT
222 HIAHLEAH DRIVE
KINGPORT TN 37660

Officer/Director/Trustee Two

JERRY NUNLEY
VICE-PRESIDENT
396 W VALLEY DRIVE LOT 17
KINGSPORT TN 37664

Officer/Director/Trustee Three

MICHELLE STURGILL
SECRETARY
3312 PRINCETON ROAD
KINGSPORT TN 37660

Officer/Director/Trustee Four

CARL PHILLIPS
TREASURER
3661 GLEN ALPINE ROAD
KINGSPORT TN 37660

Officer/Director/Trustee Five

ORRIS HARKER
EXECUTIVE DIRECTOR
2348 MAXWELL AVE
KINGSPORT TN 37664

Organization’s website
Organization’s email PAPAMIKE76@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/1982
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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