FORM 1023-EZ for JEFFREY AND CAROLYN WASSERMAN SCHOLARSHIP FOUNDATION

Field Data
EIN 83-3222887
Case Number EO-2019221-000178
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JEFFREY AND CAROLYN WASSERMAN SCHOLARSHIP FOUNDATION
Organization’s Mailing Address 3756 GROVES PLACE
City SOMIS
State CA
ZIP 93066-9715
Accounting period End 6
Primary contact name ELEZA JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELEZA JACKSON
DIRECTOR AND SECRETARY
3756 GROVES PLACE
SOMIS CA 93066-9715

Officer/Director/Trustee Two

CAROLYN WASSERMAN
DIRECTOR AND TREASURER
3756 GROVES PLACE
SOMIS CA 93066-9715

Officer/Director/Trustee Three

JEFFREY WASSERMAN
DIRECTOR AND CHAIRPERSON
3756 GROVES PLACE
SOMIS CA 93066-9715

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/19
Organization Incorporation State CA
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 ELEZA JACKSON
Signature Title DIRECTOR AND SECRETARY
Signature Date 8/7/19

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