FORM 1023-EZ for BACKPACK BED FOR HOMELESS INC

Field Data
EIN 46-5748662
Case Number EO-2018318-000244
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BACKPACK BED FOR HOMELESS INC
Organization’s Mailing Address 415 N CHURCH ST APT 1711
City NASHVILLE
State TN
ZIP 37219
Accounting period End 6
Primary contact name TYLER H DEWITT ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHEN LINDSTROM
PRESIDENT
415 N CHURCH ST APT 1711
NASHVILLE TN 37219

Officer/Director/Trustee Two

SARAH SCHUBERTH
SECRETARY
1005 WOODBURY FALLS DR
NASHVILLE TN 37219

Officer/Director/Trustee Three

TONY CLARK
CHAIRMAN
415 N CHURCH ST APT 1711
NASHVILLE TN 37219

Officer/Director/Trustee Four

LISA CLARK
TREASURER
415 N CHURCH ST APT 1711
NASHVILLE TN 37219

Organization’s website WWW.BACKPACKBED.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/14
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 Yes
Donation of funds No
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name STEPHEN LINDSTROM
Signature Title PRESIDENT
Signature Date 11/9/18

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