FORM 1023-EZ for SAM SINGLETON EDUCATIONAL FUND INC

Field Data
EIN 83-1628405
Case Number EO-2019114-000287
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAM SINGLETON EDUCATIONAL FUND INC
Organization’s Mailing Address 1020 EPHESUS SCHOOL ROAD
City WAYNESBURG
State KY
ZIP 40489
Accounting period End 12
Primary contact name TRACY SINGLETON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACY SINGLETON
PRESIDENT
1020 EPHESUS SCHOOL ROAD
WAYNESBURG KY 40489

Officer/Director/Trustee Two

EDDIE SINGLETON
VICE PRESIDENT
1020 EPHESUS SCHOOL ROAD
WAYNESBURG KY 40489

Officer/Director/Trustee Three

TRACY WRIGHT
DIRECTOR
109 SOUTHERN AVE
LANCASTER KY 40444

Officer/Director/Trustee Four

CARISSA WARDRIP
SECRETARY
245 DOUGLAS AVE
STANFORD KY 40484

Officer/Director/Trustee Five

CINDY WESLEY
TREASURER
181 BROOK WAY
WAYNESBURG KY 40489

Organization’s website
Organization’s email TRACY.SINGLETON@LINCOLN.KYSCHOOLS.US
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/19
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 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 TRACY SINGLETON
Signature Title PRESIDENT
Signature Date 4/22/19

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