FORM 1023-EZ for RUSSELL LEWIS MEMORIAL SCHOLARSHIPFUND

Field Data
EIN 85-2580239
Case Number EO-2020274-000136
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RUSSELL LEWIS MEMORIAL SCHOLARSHIPFUND
Organization’s Mailing Address 300-A LEE DRIVE
City ATLANTIC BEACH
State NC
ZIP 28512
Accounting period End 12
Primary contact name HARRISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HARRISON SMITH
CEO
300-A LEE DRIVE
ATLANTIC BEACH NC 28512

Officer/Director/Trustee Two

JAMES LEWIS
FUNDRAISING DIRECTOR
605 N GATE RD
MOREHEAD CITY NC 28557

Officer/Director/Trustee Three

NATALIE KENNEDY
SECRETARY
109 SWINDELL LN
ATLANTIC BEACEH NC 28512

Officer/Director/Trustee Four

JENNIFER RIEMER
TRASURER
140 MICKLESON RIDGE DR
RALEIGH NC 27603

Officer/Director/Trustee Five

JOE KENNEDY
VICE CHAIR
109 SWINDELL LN
ATLANTIC BEACH NC 28512

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2020
Organization Incorporation State NC
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 HARRISON SMITH
Signature Title CEO
Signature Date 9/28/2020

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