FORM 1023-EZ for THRIVE SEQUATCHIE

Field Data
EIN 85-1264891
Case Number EO-2020321-000577
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THRIVE SEQUATCHIE
Organization’s Mailing Address 15643 RANKIN AVE
City DUNLAP
State TN
ZIP 37327
Accounting period End 12
Primary contact name JANIS KYSER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANIS KYSER
DIRECTOR
15643 RANKIN AVENUE NORTH
DUNLAP TN 37327

Officer/Director/Trustee Two

GERALDINE BOSTON
OFFICER
15699 RANKIN AVENUE NORTH
DUNLAP TN 37327

Officer/Director/Trustee Three

REBECCA CARD
OFFICER
317 HATFIELD LANE
DUNLAP TN 37327

Officer/Director/Trustee Four

JAMES WYATT
OFFICER
58 3RD AVENUE
DUNLAP TN 37327

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2020
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S31 - Urban, Community Economic Development
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JANIS KYSER
Signature Title DIRECTOR
Signature Date 11/12/2020

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