FORM 1023-EZ for ARTHUR R BLAKEY JR MEMORIAL SCHOLARSHIP FUND

Field Data
EIN 83-1865033
Case Number EO-2019029-000216
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARTHUR R BLAKEY JR MEMORIAL SCHOLARSHIP FUND
Organization’s Mailing Address 478 AURORA STREET
City SAINT PAUL
State MN
ZIP 55103
Accounting period End 12
Primary contact name BROOKE BLAKEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BROOKE BLAKEY
PRESIDENT
478 AURORA STREET
SAINT PAUL MN 55103

Officer/Director/Trustee Two

BOOKER HODGES
VICE PRESIDENT
425 OAK GROVE STREET
SAINT PAUL MN 55101

Officer/Director/Trustee Three

DAMARA JEFFERSON
SECREARY
420 AURORA STREET
SAINT PAUL MN 55103

Officer/Director/Trustee Four

SUWANA KIRKLAND
MEMBER
425 OAK GROVE STREET
SAINT PAUL MN 55101

Officer/Director/Trustee Five

MELISHA CARROLL
TREASURER
989 BURR STREET
SAINT PAUL MN 55130

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/18
Organization Incorporation State MN
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 BROOKE BLAKEY
Signature Title PRESIDENT
Signature Date 12/17/18

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