FORM 1023-EZ for KASEY HERRMANN MEMORIAL SCHORARSHIPFUND INC

Field Data
EIN 27-0505885
Case Number EO-2021263-000644
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KASEY HERRMANN MEMORIAL SCHORARSHIPFUND INC
Organization’s Mailing Address 906 S 35TH ST
City MANITOWOC
State WI
ZIP 54220
Accounting period End 12
Primary contact name JAYLENE FLINN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAYLENE M FLINN
COMMITTEE MEMBER
1717 HAWTHORNE AVE
TWO RIVERS WI 54241

Officer/Director/Trustee Two

CELE LEWIS
COMMITTEE MEMBER
906 S 35TH ST
MANITOWOC WI 54220

Organization’s website NA
Organization’s email KASEY.KOMMITTEE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/2009
Organization Incorporation State WI
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAYLENE M FLINN
Signature Title COMMITTEE MEMBER
Signature Date 9/17/2021

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