FORM 1023-EZ for REPAIR US GROUP FUND INC

Field Data
EIN 86-3866445
Case Number EO-2021141-000011
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REPAIR US GROUP FUND INC
Organization’s Mailing Address 1285 MORSTEAD DR
City CLARKSVILLE
State TN
ZIP 37042
Accounting period End 12
Primary contact name CARLA FOWLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAYDEN FOWLER
DIRECTOR
1285 MORSTEAD DR
CLARKSVILLE TN 37042

Officer/Director/Trustee Two

CARLA FOWLER
DIRECTOR
1285 MORSTEAD DR
CLARKSVILLE TN 37042

Officer/Director/Trustee Three

KAYLA MARSHALL
DIRECTOR
1285 MORSTEAD DR
CLARKSVILLE TN 37042

Organization’s website
Organization’s email CARLARFOWLER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/2021
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CARLA FOWLER
Signature Title DIRECTOR
Signature Date 5/17/2021

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