FORM 1023-EZ for HIDDEN VALLEY SCHOLARSHIP FUND

Field Data
EIN 85-2221389
Case Number EO-2020237-000375
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HIDDEN VALLEY SCHOLARSHIP FUND
Organization’s Mailing Address 1621 GOLF LANE
City LIVINGSTON
State TN
ZIP 38570
Accounting period End 12
Primary contact name BILL FLETCHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BILL FLETCHER
DIRECTOR
1621 GOLF LANE
LIVINGSTON TN 38570

Officer/Director/Trustee Two

JOHN D WEST
DIRECTOR
225 RAINTREE DRIVE
LIVINGSTON TN 38570

Officer/Director/Trustee Three

KEN DODSON
DIRECTOR
509 N HILLCREST DR
LIVINGSTON TN 38570

Officer/Director/Trustee Four

JOHNNY PAINTER
DIRECTOR
5801 SOUTHERN HILLS DR
BAXTER TN 38570

Organization’s website N/A
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2020
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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 BILL FLETCHER
Signature Title DIRECTOR
Signature Date 8/20/2020

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