FORM 1023-EZ for SHAYLA MARIE CHAVIS PAY IT FORWARDSCHOLARSHIP FUND INC

Field Data
EIN 85-2999176
Case Number EO-2020265-000728
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHAYLA MARIE CHAVIS PAY IT FORWARDSCHOLARSHIP FUND INC
Organization’s Mailing Address 167 VALLEYCRUISE CIRCLE
City GARNER
State NC
ZIP 27529
Accounting period End 12
Primary contact name KELA CHAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELA CHAVIS
PRESIDENT
167 VALLEYCRUISE CIRCLE
CHARLOTTE NC 27529

Officer/Director/Trustee Two

LAWRENCE JR CHAVIS
VICE PRESIDENT
167 VALLEYCRUISE CIRCLE
CHARLOTTE NC 27529

Officer/Director/Trustee Three

DESINIA MILLER
TREASURER
2809 S OAKLAND FOREST DRIVE APT 203
OAKLAND PARK FL 33309

Officer/Director/Trustee Four

KAYLA CHAVIS
SECRETARY
167 VALLEYCRUISE CIRCLE
GARNER NC 27529

Organization’s website
Organization’s email KSCHAVIS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
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 Yes
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 KELA CHAVIS
Signature Title PRESIDENT
Signature Date 9/19/2020

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