FORM 1023-EZ for SHIM FOUNDATION
| Field | Data |
|---|---|
| EIN | 85-2100224 |
| Case Number | EO-2020260-000312 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SHIM FOUNDATION |
| Organization’s Mailing Address | 616 SUMMIT OAKS COURT |
| City | NASHVILLE |
| State | TN |
| ZIP | 37221-4447 |
| Accounting period End | 12 |
| Primary contact name | KEITH BELTON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KIRK THAME
PRESIDENT
616 SUMMIT OAKS COURT
NASHVILLE TN 37221-4447
Officer/Director/Trustee Two
JACQUELINE ROBINSON
TREASURER
901 AIRWAYS CIRCLE
NASHVILLE TN 37214-3608
Officer/Director/Trustee Three
HERBERT BLACKWOOD
SECRETARY
16412 NW 15TH STREET
PEMBROKE PINES FL 33208-1318
Officer/Director/Trustee Four
THOMAS ALEXANDER
BOARD MEMBER
8 VERNDALE APT 2
BROOKLINE MA 02446-2474
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/4/2020 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E60 - Health Support Services |
| 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 | KIRK THAME |
| Signature Title | PRESIDENT |
| Signature Date | 9/14/2020 |
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