FORM 1023-EZ for CHASING SHELBY FOUNDATION

Field Data
EIN 81-5214197
Case Number EO-2017135-000152
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHASING SHELBY FOUNDATION
Organization’s Mailing Address 40952 GRIFFIN DR
City OAKHURST
State CA
ZIP 93644
Accounting period End 12
Primary contact name KAREN CONKLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN CONKLIN
PRESIDENT
40952 GRIFFIN DR
OAKHURST CA 93644

Officer/Director/Trustee Two

NANCY VEATER
VICE PRESIDENT
33957 OLD HICKORY LN
COARSEGOLD CA 93614

Officer/Director/Trustee Three

COURTNEY VAN PATTEN
SECRETARY
727 N TIVOLI LN
CLOVIS CA 93619

Officer/Director/Trustee Four

TAMMY LOVELAND
TREASURER
33789 ARENA WAY
COARSEGOLD CA 93614

Organization’s website CHASINGSHELBY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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