FORM 1023-EZ for AUSTIN MOODY FOUNDATION

Field Data
EIN 82-1026727
Case Number EO-2017096-000340
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AUSTIN MOODY FOUNDATION
Organization’s Mailing Address 2409 21ST AVE S STE 202
City NASHVILLE
State TN
ZIP 37212-1228
Accounting period End 12
Primary contact name DIANE KRUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AUSTIN R MOODY
PRESIDENT
2328 NASHBORO VILLAGE
NASHVILLE TN 37217

Officer/Director/Trustee Two

DIANE J KRUSE
DIRECTOR
2921 HARBOUR VIEW DRIVE
NASHVILLE TN 37217

Officer/Director/Trustee Three

MARK MABRY
DIRECTOR
1400 ROSA PARKS BLVD NO 403
NASHVILLE TN 37208

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 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 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
Signature Title
Signature Date

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