FORM 1023-EZ for KEEPING EVERY VISION ALIVE INC

Field Data
EIN 82-1982417
Case Number EO-2017180-000261
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KEEPING EVERY VISION ALIVE INC
Organization’s Mailing Address 3505 WEST HAMILTON AVENUE
City NASHVILLE
State TN
ZIP 37218
Accounting period End 12
Primary contact name JAUKEVA MICHELLE LEONARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUAKEVA LEONARD
PRESIDENT
3505 WEST HAMILTON AVE
NASHVILLE TN 37218

Officer/Director/Trustee Two

TAKIYAH MIDDLETON
SECRETARY
1411 DICKERSON PIKE
NASHVILLE TN 37207

Officer/Director/Trustee Three

VENITA LEWIS
TREASURER
12840 KIRKWOOD ROAD APT 3212
STAFFORD TX 77477

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/2017
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: Yes
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 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
Signature Title
Signature Date

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