FORM 1023-EZ for VIOLA CYPRIAN-MACK MEMORIAL SCHOLARSHIP FUND

Field Data
EIN 81-1640551
Case Number EO-2016130-000327
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VIOLA CYPRIAN-MACK MEMORIAL SCHOLARSHIP FUND
Organization’s Mailing Address 2826 LOCKERIDGE PLACE DRIVE
City SPRING
State TX
ZIP 77386-7028
Accounting period End 12
Primary contact name JAMES MACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CAROLYN FRANK
DIRECTOR/PRESIDENT
2826 LOCKERIDGE PLACE DRIVE
SPRING TX 77386-7028

Officer/Director/Trustee Two

JAMES MACK
DIRECTOR
921 OAKHORNE DRIVE
HARBOR CITY CA 90710-1523

Officer/Director/Trustee Three

AUDREY HARRIS
DIRECTOR
54084 OLD UNEEDUS ROAD
FOLSOM LA 70437-7734

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2016
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
Signature Title
Signature Date

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