FORM 1023-EZ for ROSEBUD SCHOLARSHIP FUND

Field Data
EIN 83-3738710
Case Number EO-2019064-000160
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROSEBUD SCHOLARSHIP FUND
Organization’s Mailing Address PO BOX 897
City MISSION
State SD
ZIP 57555-897
Accounting period End 12
Primary contact name PRESIDENT TROY BLAKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TROY BLAKE
DIRECTOR
103 W OMAHA ST APT 402
MISSION SD 57555-897

Officer/Director/Trustee Two

MARA CHILDS
DIRECTOR
1014 5TH AVE N APT 3
SEATTLE WA 98109-3974

Officer/Director/Trustee Three

KEVIN ZHANG
DIRECTOR
1620 21ST AVE S APT 230
NASHVILLE TN 37212-3258

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/19
Organization Incorporation State SD
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 Yes
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 TROY BLAKE
Signature Title DIRECTOR
Signature Date 3/3/19

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