FORM 1023-EZ for SHIRLEY KATS MEMORIAL SCHOLARSHIP FOUNDATION

Field Data
EIN 81-0853012
Case Number EO-2016040-000040
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHIRLEY KATS MEMORIAL SCHOLARSHIP FOUNDATION
Organization’s Mailing Address 837 W KIOWA RD
City PRAIRIE VIEW
State KS
ZIP 67664
Accounting period End 12
Primary contact name KAREN L GRIFFITHS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHERRY WOODSIDE
MEMBER, SECRETARY-TREASURER
837 W KIOWA RD
PRAIRIE VIEW KS 67664

Officer/Director/Trustee Two

KATHY NIMZ
MEMBER, CHAIRMAN
7452 S QUAIL CIRCLE APT 118
LITTLETON CO 80127-4917

Officer/Director/Trustee Three

VICKY ALLEN
MEMBER
4519 EARLENE ST
FREDERICKSBURG VA 22408

Officer/Director/Trustee Four

SERENA MARQUEZ
MEMBER
3716 LESLEY LANE
MANHATTAN KS 66502

Officer/Director/Trustee Five

ELIZABETH WOODSIDE
MEMBER
829 W KIOWA RD
PRAIRIE VIEW KS 67664

Organization’s website
Organization’s email ASWOODSIDE@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2015
Organization Incorporation State KS
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 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
Signature Title
Signature Date

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