FORM 1023-EZ for B SHAW FOUNDATION

Field Data
EIN 83-4148155
Case Number EO-2019101-000322
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name B SHAW FOUNDATION
Organization’s Mailing Address EAST JEFFERSON STREET
City BROWNSVILLE
State TN
ZIP 38012
Accounting period End 12
Primary contact name DR GEORGE CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BOBBY SHAW
FOUNDER PRESIDENT
14 EAST JEFFERSON STREET
BROWNSVILLE TN 38012

Officer/Director/Trustee Two

SAMUEL SHAW
VICE PRESIDENT
14 EAST JEFFERSON STREET
BROWNSVILLE TN 38012

Officer/Director/Trustee Three

WILLIE SHAW
TREASURER
14 EAST JEFFERSON STREET
BROWNSVILLE TN 38012

Officer/Director/Trustee Four

STANLEY SHAW
SECRETARY
14 EAST JEFFERSON STREET
BROWNSVILLE TN 38012

Officer/Director/Trustee Five

STEPHEN SHAW
BOARD MEMBER
14 EAST JEFFERSON STREET
BROWNSVILLE TN 38012

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P45 - Family Services, Adolescent Parents
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 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 Yes
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 BOBBY SHAW
Signature Title FOUNDER PRESIDENT
Signature Date 4/9/19

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