FORM 1023-EZ for SOUTHEASTERN AVIAN RESEARCH

Field Data
EIN 47-1815471
Case Number EO-2014294-000228
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHEASTERN AVIAN RESEARCH
Organization’s Mailing Address 1515 NORTH WILLOW BEND COURT
City CLARKSVILLE
State TN
ZIP 37043-1789
Accounting period End 12
Primary contact name CYNTHIA ROUTLEDGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CYNTHIA ROUTLEDGE
CHIEF EXECUTIVE OFFICER
1515 NORTH WILLOW BEND COURT
CLARKSVILLE TN 37043-1789

Officer/Director/Trustee Two

STEVEN ROUTLEDGE
TREASURER/DIRECTOR
1515 NORTH WILLOW BEND COURT
CLARKSVILLE TN 37043-1789

Officer/Director/Trustee Three

HOLLY BUCY
SECRETARY/DIRECTOR
1515 NORTH WILLOW BEND COURT
CLARKSVILLE TN 37043-1789

Officer/Director/Trustee Four

LINNANN WELCH
DIRECTOR
4428 HANNAH FORD ROAD
PEGRAM TN 37143-2015

Officer/Director/Trustee Five

MATTHEW BUCY
DIRECTOR
222 CODY COURT
CLARKSVILLE TN 37043-1789

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/2014
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U20 - Science, General
Organization’s purpose Charitable: No
Religious: No
Educational: No
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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