FORM 1023-EZ for ROSIE WILSON HARRIS SCHOLARSHIP FUND

Field Data
EIN 47-3411178
Case Number EO-2015092-000352
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROSIE WILSON HARRIS SCHOLARSHIP FUND
Organization’s Mailing Address 757 ELM STREET
City SAN CARLOS
State CA
ZIP 94070
Accounting period End 12
Primary contact name MARY HARRIS EVANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LELA HARRIS
JUDGE
5140 DIAMOND HEIGHTS BLVD
SAN FRANCISCO CA 94131

Officer/Director/Trustee Two

FELTON HARRIS
MR.
133 MEADOWLANE DRIVE
WHATLEY AL 36482

Officer/Director/Trustee Three

MARY DELL DAVIS
MS
26173 HIGHWAY 84E
WHATLEY AL 36482

Officer/Director/Trustee Four

MARY EVANS
DR
757 ELM STREET
SAN MATEO CA 94070

Officer/Director/Trustee Five

BOBBY ENGLANS
REVV
1912 TIPPETT DRIVE
SELMA AL 36701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2015
Organization Incorporation State CA
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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