FORM 1023-EZ for JWM SCHOLARSHIP FOUNDATION

Field Data
EIN 47-4365549
Case Number EO-2015268-000197
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JWM SCHOLARSHIP FOUNDATION
Organization’s Mailing Address 22 CREEKSIDE DRIVE
City LONG LAKE
State MN
ZIP 55356
Accounting period End 12
Primary contact name ROBERT LUND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARKO MRKONICH
CHAIRPERSON AND DIRECTOR
22 CREEKSIDE DRIVE
LONG LAKE MN 55356

Officer/Director/Trustee Two

ROBERT LUND
TREASURER AND DIRECTOR
16720 45TH AVENUE NORTH
PLYMOUTH MN 55446

Officer/Director/Trustee Three

DAVID HIRSCHFELD JR
SECRETARY AND DIRECTOR
6404 CIMMARON TRAIL
COLLEYVILLE TX 76034

Officer/Director/Trustee Four

LOREN ANDERSON
DIRECTOR
5755 PINE CIRCLE DRIVER
DULUTH MN 55811

Officer/Director/Trustee Five

JAMES BYE
DIRECTOR
2482 LAFAYETTE ROAD
WAYZATA MN 55391

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/2015
Organization Incorporation State MN
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 Yes
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
Signature Title
Signature Date

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