FORM 1023-EZ for CHIARI FUND

Field Data
EIN 46-2933214
Case Number EO-2016032-000278
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHIARI FUND
Organization’s Mailing Address 12330 RIDGE COVE CIRCLE
City CHARLOTTE
State NC
ZIP 28273
Accounting period End 12
Primary contact name BILLY ROWE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BARBARA ROWE
FUNDRAISER CHAIRPERSON
HC 60 BOX 255
SALYERSVILLE KY 41465

Officer/Director/Trustee Two

BILLY ROWE
PRESIDENT
12330 RIDGE COVE CIRCLE
CHARLOTTE NC 28273

Officer/Director/Trustee Three

CHADE BROWN
VICE PRESIDENT
1207 FIELDSTONE WAY
MUSTANG OK 73064

Officer/Director/Trustee Four

MELISSA BARNETT
SECRETARY
HC 60 BOX 257
SALYERSVILLE KY 41465

Organization’s website WWW.CHIARIFUND.ORG
Organization’s email BILLY.ROWE@CHIARIFUND.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/2013
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund Distribution
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 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 No
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
Signature Title
Signature Date

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