FORM 1023-EZ for VALLEY CHAPTER TENNESSEE BLUEBIRD SOCIETY

Field Data
EIN 84-2279076
Case Number EO-2020078-000201
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VALLEY CHAPTER TENNESSEE BLUEBIRD SOCIETY
Organization’s Mailing Address 119 TALAH WAY
City LOUDON
State TN
ZIP 37774-2566
Accounting period End 12
Primary contact name JANNE BEYNON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES JAMES
PRESIDENT
119 TALAH WAY
LOUDON TN 37774-2566

Officer/Director/Trustee Two

JANNE BEYNON
TREASURER
133 POCOLA WAY
LOUDON TN 37774-2958

Officer/Director/Trustee Three

CHUCK CRUISKSHANK
VICE PRESIDENT
133 CHANUSI WAY
LOUDON TN 37774-2556

Officer/Director/Trustee Four

PAULA HEDLUND
SECRETARY
128 ELOKWA WAY
LOUDON TN 37774-3053

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/2019
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D30 - Wildlife Preservation, Protection
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 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 JANNE BEYNON
Signature Title TREASURER
Signature Date 3/14/2020

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