FORM 1023-EZ for BETSY WERNER MEMORIAL SCHOLARSHIP FUND INC

Field Data
EIN 83-4363799
Case Number EO-2019178-000291
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BETSY WERNER MEMORIAL SCHOLARSHIP FUND INC
Organization’s Mailing Address 1039 WEST GRACE STREET - UNIT 1
City CHICAGO
State IL
ZIP 60613
Accounting period End 12
Primary contact name BROCK WERNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BROCK WERNER
DIRECTOR
1039 WEST GRACE STREET - UNIT 1
CHICAGO IL 60613

Officer/Director/Trustee Two

MICHAEL WERNER
DIRECTOR
420 SCHOOL STREET
OCONTO WI

Officer/Director/Trustee Three

EMILY MARTIN
DIRECTOR
6824 CREAM CITY ROAD
OCONTO WI 54153

Officer/Director/Trustee Four

BRIAN LAMBRECHT
DIRECTOR
4640 EDWARD AVE
MISSOULA MT 59804

Organization’s website
Organization’s email BWMEMORIALFUND@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/19
Organization Incorporation State WI
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: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BRIAN LAMBRECHT
Signature Title DIRECTOR
Signature Date 6/25/19

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