FORM 1023-EZ for CARRIES ST PATRICKS DAY 5K INC

Field Data
EIN 86-1666307
Case Number EO-2021092-001028
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARRIES ST PATRICKS DAY 5K INC
Organization’s Mailing Address 2423 AMBER STREET
City KNOXVILLE
State TN
ZIP 37917
Accounting period End 12
Primary contact name CASEY CORDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CASEY CORDY
PRESIDENT
2423 AMBER STREET
KNOXVILLE TN 37917

Officer/Director/Trustee Two

DANIELLE CAMPBELL
SECRETARY
228 E SCOTT AVE
KNOXVILLE TN 37917

Officer/Director/Trustee Three

BRYAN CAMPBELL
TREASURER
228 E SCOTT AVE
KNOXVILLE TN 37917

Organization’s website HTTPS://WWW.FACEBOOK.COM/STPATTY5K
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/2021
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H30 - Cancer Research
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 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 CASEY CORDY
Signature Title PRESIDENT
Signature Date 2/27/2021

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