FORM 1023-EZ for THE LEAH S VINES SCHOLARSHIP FUND

Field Data
EIN 47-5528015
Case Number EO-2015334-000120
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE LEAH S VINES SCHOLARSHIP FUND
Organization’s Mailing Address PO BOX 1003
City PINETOPS
State NC
ZIP 27864
Accounting period End 12
Primary contact name LEAH S VINES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LEAH VINES
DIRECTOR
PO BOX 1003
PINETOPS NC 27864

Officer/Director/Trustee Two

VICTOR VINES
PRESIDENT
706 FAIRCLOTH STREET
RALEIGH NC 27607

Officer/Director/Trustee Three

TRAVIS VINES
VICE-PRESIDENT
6400 NOWELL DRIVE
RALEIGH NC 27607

Officer/Director/Trustee Four

HELEN COLLINS
TREASURER
105 ORCHARD CT
ROCKY MOUNT NC 27804

Officer/Director/Trustee Five

MARSHA COOPER
SECRETARY
PO BOX 487
PINETOPS NC 27864

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/2015
Organization Incorporation State NC
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: No
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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