FORM 1023-EZ for CANNON COUNTY SUBSTANCE ABUSE PREVENTION COALITION

Field Data
EIN 84-4036577
Case Number EO-2020050-000202
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CANNON COUNTY SUBSTANCE ABUSE PREVENTION COALITION
Organization’s Mailing Address 2793 PARCHCORN HOLLOW ROAD
City WOODBURY
State TN
ZIP 37190
Accounting period End 6
Primary contact name GLENN STEAKLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GLENN STEAKLEY
DIRECTOR
2793 PARCHCORN HOLLOW ROAD
WOODBURY TN 37190

Officer/Director/Trustee Two

CASSELL DAVIS
SECRETARY
160 ROLLING HILLS 3RD STREET
MCMINNVILLE TN 37110

Officer/Director/Trustee Three

TAMMY JONES
MEMBER
2210 OLD PROSPECT ROAD
WOODBURY TN 31790

Officer/Director/Trustee Four

SUE PATRICK
TREASURER
78 MAPLE DRIVE
WOODBURY TN 37190

Officer/Director/Trustee Five

TRAVIS MATTOX
MEMBER
5264 SHORT MOUNTAIN ROAD
WOODBURY TN 37190

Organization’s website
Organization’s email CANNONCOALITION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/2019
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 No
Correctness Declaration Yes
Signature Name GLENN STEAKLEY
Signature Title DIRECTOR
Signature Date 2/17/2020

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