FORM 1023-EZ for FEDERATION OF CHURCHILL AFICIANADOS

Field Data
EIN 84-2138282
Case Number EO-2019172-000280
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FEDERATION OF CHURCHILL AFICIANADOS
Organization’s Mailing Address 1015 W MAIN ST
City FRANKLIN
State TN
ZIP 37064
Accounting period End 12
Primary contact name JOHN H MATHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GERARD DUMONT
CHAIRMAN
313 SELLERS LANE
BROADWAY VA 22815

Officer/Director/Trustee Two

JOHN MATHER
SECRETARY
1015 W MAIN ST
FRANKLIN TN 37064

Officer/Director/Trustee Three

JEFF MORRIS
TREASURER
814 THORNTON DR
FRANKLIN TN 37064-8969

Officer/Director/Trustee Four

PATRICK SCOTT
PUBLIC MEMBER
USC LIBRARIES 1322 GREENE STREET
COLUMBIA SC 29208

Officer/Director/Trustee Five

ALLEN CLEGHORN
BOARD MEMBER
5225 CONNECTICUT AVE UNIT 614
WASHINGTON DC 20015

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 JOHN MATHER
Signature Title SECRETARY
Signature Date 6/19/19

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