FORM 1023-EZ for SPIRIT OF A CHAMPION INC

Field Data
EIN 84-2601298
Case Number EO-2019266-000182
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPIRIT OF A CHAMPION INC
Organization’s Mailing Address 120 SHILOH RIDGE
City HENDERSONVILLE
State TN
ZIP 37075
Accounting period End 12
Primary contact name LARRY C HOWLETT CPA FORM 2848
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT H WILLIAMS
PRESIDENT
120 SHILOH RIDGE
HENDERSONVILLE TN 27075

Officer/Director/Trustee Two

JEFF HOCKMAN
DIRECTOR
120 OAK LEAF DRIVE
HENDERSONVILLE TN 37075

Officer/Director/Trustee Three

JOHN RIADON
DIRECTOR
112 BLUEGRASS CIRCLE
HENDERSONVILLE TN 37075

Officer/Director/Trustee Four

MYRON NASH
DIRECTOR
102 MARTIN DRIVE
HENDERSONVILLE TN 37075

Officer/Director/Trustee Five

KEN HUDGENS
DIRECTOR
129 HADDAWAY DRIVE
HENDERSONVILLE TN 37075

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 ROBERT H WILLIAMS
Signature Title PRESIDENT
Signature Date 9/19/19

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