FORM 1023-EZ for REVEREND RUTH MORRISON SCHOLARSHIPFOUNDATION

Field	Data
EIN	83-3032383
Case Number	EO-2019031-000824
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	REVEREND RUTH MORRISON SCHOLARSHIPFOUNDATION
Organization’s Mailing Address	3500 VEST MILL ROAD SUITE 27
City	WINSTON-SALEM
State	NC
ZIP	27103-2978
Accounting period End	12
Primary contact name	NECHELLE SAMUEL
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00

Officer/Director/Trustee One

NECHELLE SAMUEL
EXECUTIVE DIRECTOR
3500 VEST MILL ROAD SUITE 27
WINSTON-SALEM NC 27103-2978

Officer/Director/Trustee Two

BERNARD SAMUEL
BOARD OF DIRECTOR
106 NORTH DUNLIETH AVE
WINSTON-SALEM NC 27101-4518

Officer/Director/Trustee Three

ANTHONY INGRAM
BOARD OF DIRECTOR
3401 OLD VINEYARD B-9
WINSTON-SALEM NC 27103-1422

Officer/Director/Trustee Four

SHEENA SHORE
BOARD OF DIRECTOR
115 WILLOW TRACE CIRCLE APT 2
CLEMMONS NC 27012-8131

Officer/Director/Trustee Five

ANITA JONES
BOARD OF DIRECTOR
1504 OAKSHIRE COURT APT B
WINSTON- SALEM NC 27107-5597

Organization’s website	N/A
Organization’s email	REV.RUTHMORRISON2004@GMAIL.COM
Organization Incorporated	Yes
Organization trust	No
Necessary Organizing Documents	Yes
Organization Incorporation Date	12/5/18
Organization Incorporation State	NC
Contains Limitation	Yes
Does not expressly empower	Yes
Contains dissolution	Yes
National Taxonomy of Exempt Entities (NTEE) code	O50 - Youth Development Programs, Other
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	No
One Third Support Gifts	Yes
Benefit of College	No
Private Foundation 508(e)	No
Seeking Retroactive Reinstatement	No
Seeking Section 7 Reinstatement	No
Correctness Declaration	Yes
Signature Name	NECHELLE SAMUEL
Signature Title	EXECUTIVE DIRECTOR
Signature Date	1/7/19
EIN	83-3032383
Case Number	EO-2019031-000824
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	REVEREND RUTH MORRISON SCHOLARSHIP FOUNDATION
Organization’s Mailing Address	3500 VEST MILL ROAD SUITE 27
City	WINSTON-SALEM
State	NC
ZIP	27103-2978
Accounting period End	12
Primary contact name	NECHELLE SAMUEL
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00