FORM 1023-EZ for BORDER TERRIER CLUB OF AMERICA HEALTH AND SCHOLARSHIP FOUNDATION

Field Data
EIN 47-1746904
Case Number EO-2017040-000292
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BORDER TERRIER CLUB OF AMERICA HEALTH AND SCHOLARSHIP FOUNDATION
Organization’s Mailing Address 212 NORTH FOURTH ST STE 10
City KINGMAN
State AZ
ZIP 86401
Accounting period End 12
Primary contact name DARCY DOWNS-VOLLBRACHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARGARET POUGH
PRESIDENT
132 GENUNG CIRCLE
ITHACA NY 14850

Officer/Director/Trustee Two

MARSHA FRENCH
TREASURER
6711 E CAMELBACK RD UNIT 83
SCOTTSDALE AZ 85251

Officer/Director/Trustee Three

GAIL SCHWARTZ
VICE PRESIDENT
5613 CROWNDALE DR
PLANO TX 75093

Officer/Director/Trustee Four

ANN STEINBACHER
SECRETARY
16 BEAVER BROOK DR
SUSSEX NJ 07461

Officer/Director/Trustee Five

DARCY DOWNS-VOLLBRACHT
DIRECTOR
212 NORTH FOURTH ST STE 10
KINGMAN AZ 86401

Organization’s website BTCAHEALTHANDSCHOLARSHIPFOUNDATION.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/2013
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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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