FORM 1023-EZ for ROSAS ANGEL SCHOLARSHIP

Field Data
EIN 84-3994883
Case Number EO-2019364-000061
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROSAS ANGEL SCHOLARSHIP
Organization’s Mailing Address 2565 WASHINGTON ST UNIT 302
City ROXBURY
State MA
ZIP 02119
Accounting period End 12
Primary contact name PHALLON FOXWORTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHALLON FOXWORTH
OFFICER/DIRECTOR
2565 WASHINGTON ST UNIT 302
ROXBURY MA 02119

Officer/Director/Trustee Two

MARY FOXWORTH
TEASURER/CHAIRPERSON
600 RIGHTERS FERRY RD PH 629
BALA CYNWYD PA 19004

Organization’s website WWW.PHALLONSYM.COM
Organization’s email PHALLONSYM@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/16/2019
Organization Incorporation State MA
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: No
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 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 PHALLON FOXWORTH
Signature Title OFFICER/DIRECTOR
Signature Date 12/26/2019

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