FORM 1023-EZ for MISS KELLER SCHOLARSHIP PROGRAM

Field Data
EIN 83-4077728
Case Number EO-2019126-000422
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISS KELLER SCHOLARSHIP PROGRAM
Organization’s Mailing Address 3704 FOSSIL TREE LN
City KELLER
State TX
ZIP 76244
Accounting period End 3
Primary contact name JEANNE STANSAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEANNE STANSAK
DIRECTOR
3704 FOSSIL TREE LN
KELLER TX 76244

Officer/Director/Trustee Two

ALEXANDRA GREEN
DIRECTOR
2123 PINE RIDGE CT
KELLER TX 76248

Officer/Director/Trustee Three

SHOLON LABAR
DIRECTOR
1404 JACOB AVE
KELLER TX 76248

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/19
Organization Incorporation State TX
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 JEANNE STANSAK
Signature Title DIRECTOR
Signature Date 5/2/19

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