FORM 1023-EZ for CAVALLA SOUND FOUNDATION

Field Data
EIN 83-3957282
Case Number EO-2019087-000276
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAVALLA SOUND FOUNDATION
Organization’s Mailing Address 4510 124TH LANE NE
City BLAINE
State MN
ZIP 55449-6296
Accounting period End 12
Primary contact name NYEMA PENNOH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARMENRESIA JONES
EXECUTIVE DIRECTOR
1115 PAUL PARKWAY NE APT 107
BLAINE MN 55434-3965

Officer/Director/Trustee Two

NYEMA PENNOH
BOARD CHAIRMAN
4510 124TH LANE NE
BLAINE MN 55449-6296

Officer/Director/Trustee Three

SHIRLEY NYEPAH
BOARD MEMBER
4510 124TH LANE NE
BLAINE MN 55449-6296

Officer/Director/Trustee Four

WAYNE DOE
BOARD MEMBER
11370 ROBINSON DR 209
COON RAPIDS MN 55433-7408

Officer/Director/Trustee Five

PHILIP KALEEWOUN
BOARD MEMBER
4120 SCOTT AVENUE N
ROBBINSDALE MN 55422-1751

Organization’s website WWW.CAVALLASOUNDFOUNDATION.COM
Organization’s email CAVALLASOUNDFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/18
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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 NYEMA PENNOH
Signature Title BOARD CHAIRMAN
Signature Date 3/26/19

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