FORM 1023-EZ for THE JUSTIN T CHAFIN MEMORIAL FOUNDATION INC

Field Data
EIN 37-1852887
Case Number EO-2017115-000094
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE JUSTIN T CHAFIN MEMORIAL FOUNDATION INC
Organization’s Mailing Address 122 BEECH STREET
City PIKEVILLE
State KY
ZIP 41501
Accounting period End 12
Primary contact name JENNIFER CHAFIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT CHAFIN
PRESIDENT
3380 LEIGHTON PL
LEXINGTON KY 40515

Officer/Director/Trustee Two

JENNIFER CHAFIN
TREASURER
122 BEECH STREET
PIKEVILLE KY 41501

Officer/Director/Trustee Three

JOHN CHAFIN
VICE PRESIDENT
165 N CANAL STREET SUITE 610
CHICAGO IL 60606

Officer/Director/Trustee Four

HILLARY CHAFIN
SECRETARY
3027 KY RT 3224
RIVER KY 41245

Officer/Director/Trustee Five

CHRIS CHILDERS
MEMBER
823 OAK FAIRWAY CT
MAYSVILLE KY 41056

Organization’s website JTCMEMORIALFUND.COM
Organization’s email JTCMEMORIALFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2017
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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
Signature Title
Signature Date

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