FORM 1023-EZ for PHYLLIS MARIE BRACKETT MEMORIAL SCHOLARSHIP INCORPORATED

Field Data
EIN 84-2253274
Case Number EO-2019220-000053
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PHYLLIS MARIE BRACKETT MEMORIAL SCHOLARSHIP INCORPORATED
Organization’s Mailing Address 3105 SOUTH 47TH STREET J129
City TACOMA
State WA
ZIP 98409
Accounting period End 6
Primary contact name ZANETTA FORD BYRD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZANETTA FORD-BYRD
DIRECTOR
1115 NATHAN HALE COURT
HARRISONBURG VA 22802

Officer/Director/Trustee Two

LATOYA BRACKETT
FOUNDER & PRESIDENT
3105 SOUTH 47TH STREET J129
TACOMA WA 98409

Officer/Director/Trustee Three

MACHA OBRIEN TOWNSEND
TREASURER
30 NORTHWOOD ROAD
PALMYRA VA 22963

Officer/Director/Trustee Four

SIMONE BRACKETT
SECRETARY
KENNEBEC DRIVE
CHAPEL HILL NC 27517

Organization’s website PMBSCHOLARSHIP.ORG
Organization’s email PMBSCHOLARSHIP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 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 LATOYA BRACKETT
Signature Title FOUNDER & PRESIDENT
Signature Date 8/6/19

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