FORM 1023-EZ for COACH BOBBY CAMPBELL SCHOLARSHIP FUND INC

Field Data
EIN 85-1370280
Case Number EO-2020169-000233
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COACH BOBBY CAMPBELL SCHOLARSHIP FUND INC
Organization’s Mailing Address PO BOX 6418
City DALTON
State GA
ZIP 30722-6418
Accounting period End 12
Primary contact name JEFF SHEPHERD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVE HASTEY
CHAIRMAN
2213 FAWN DR
DALTON GA 30720

Officer/Director/Trustee Two

LINDA WILSON
OFFICER
19108 CLAPP ROAD
OTISCO IN 47163

Officer/Director/Trustee Three

TOMMY CAMPBELL
OFFICER
6843 WYTHAM DRIVE
MEMPHIS TN 38119

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/2020
Organization Incorporation State GA
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 DAVE HASTEY
Signature Title CHAIRMAN
Signature Date 6/15/2020

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