FORM 1023-EZ for THE MICAH CHARITABLE FOUNDATION

Field Data
EIN 83-1149763
Case Number EO-2018192-000181
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE MICAH CHARITABLE FOUNDATION
Organization’s Mailing Address 6312 CHICKERING WOODS DR
City NASHVILLE
State TN
ZIP 37215
Accounting period End 12
Primary contact name RICHARD L CURTIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD CURTIS
CHAIRMAN
6312 CHICKERING WOODS DR
NASHVILLE TN 37215

Officer/Director/Trustee Two

GINA CURTIS
PRESIDENT
6312 CHICKERING WOODS DR
NASHVILLE TN 37215

Organization’s website
Organization’s email RCURTIS@CURTISCO.COM
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/18
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RICHARD CURTIS
Signature Title CHAIRMAN
Signature Date 7/9/18

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