FORM 1023-EZ for AMERICAN CAVY BREEDERS ASSOCIATIONYOUTH SCHOLARSHIP INC

Field Data
EIN 84-2019354
Case Number EO-2020093-000077
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMERICAN CAVY BREEDERS ASSOCIATIONYOUTH SCHOLARSHIP INC
Organization’s Mailing Address 425 INGLE HOLLOW RD
City SEVIERVILLE
State TN
ZIP 37876
Accounting period End 6
Primary contact name SARA BUCHANAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON WHITEHURST
PRESIDENT
425
SEVIERVILLE TN 37876

Officer/Director/Trustee Two

SARA BUCHANAN
TREASURER
425 INGLE HOLLOW RD
SEVIERVILLE TN 37876

Officer/Director/Trustee Three

KAREN DEHAVEN
SECRETARY
425 INGLE HOLLOW RD
SEVIERVILLE TN 37876

Officer/Director/Trustee Four

KEVIN BLAES
BOARD MEMBER
425 INGLE HOLLOW RD
SEVIERVILLE TN 37876

Officer/Director/Trustee Five

SUSAN JONES
BOARD MEMBER
425 INGLE HOLLOW RD
SEVIERVILLE TN 37876

Organization’s website TBD
Organization’s email CAVYJUDGE@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/26/2019
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 SARA BUCHANAN
Signature Title TREASURER
Signature Date 3/31/2020

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