FORM 1023-EZ for THE BOOKER D FOUNDATION

Field Data
EIN 85-3655580
Case Number EO-2021027-000068
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BOOKER D FOUNDATION
Organization’s Mailing Address 9011 OLD HIGHWAY 46
City LYLES
State TN
ZIP 37098
Accounting period End 12
Primary contact name KRISTI PAGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTI PAGE
TREASURER
8091 JOHNNY CROW ROAD
LYLES TN 37098

Officer/Director/Trustee Two

STEPHANIE BEARD
CHAIRMAN
9011 OLD HWY 46
LYLES TN 37098

Officer/Director/Trustee Three

MELODY BEARD
SECRETARY
9011 OLD HWY 46
LYLES TN 37098

Officer/Director/Trustee Four

BYRON BEARD
PRESIDENT
9011 OLD HWY 46
LYLES TN 37098

Officer/Director/Trustee Five

AUSTIN PAGE
CHAIR
7819 WRIGLEY ROAD
LYLES TN 37098

Organization’s website
Organization’s email Thebookerdfoundation@gmail.com
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/2020
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 No
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 KRISTI PAGE
Signature Title TREASURER
Signature Date 12/5/2020

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