FORM 1023-EZ for CPNP BELMONT UNIVERSITY COLLEGE OFPHARMACY COLLEGIATE CHAPTER

Field Data
EIN 46-2706451
Case Number EO-2016159-000063
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CPNP BELMONT UNIVERSITY COLLEGE OFPHARMACY COLLEGIATE CHAPTER
Organization’s Mailing Address 1900 BELMONT BLVD
City NASHVILLE
State TN
ZIP 37212
Accounting period End 6
Primary contact name MICHAEL MCGUIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALLISON KARST
PRESIDENT
506 PLAYERS COURT
NASHVILLE TN 37211

Officer/Director/Trustee Two

BROOKE BOILS
VICE-PRESIDENT
711 ENCLAVE CIRCLE
NASHVILLE TN 37211

Officer/Director/Trustee Three

BRITTANY HAYES
SECRETARY/TREASURER
1520 HORTON AVE APARTMENT 219
NASHVILLE TN 37212

Officer/Director/Trustee Four

KYLA CUNICO
HISTORIAN
930 BATTLEFIELD DR
NASHVILLE TN 37204

Officer/Director/Trustee Five

MICHAEL MCGUIRE
ADVISOR
8005 SAN CABRILLO CT
SPRING HILL TN 37174

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2013
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
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 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
Signature Title
Signature Date

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