| Locality: | United States. Tennessee. Coffee: AEDC, wet to dry, open fields, National Guard/wildlife management area north of Camp Forrest area and west of Rifle Range Road |
| Description: | Specimen has mature fruits or seeds, mature leaves, and roots present. Specimen missing 8/15/2012-Y. Gottfried |
| Collector: | Landon E. McKinney
with Geoff Call |