FORM 1023-EZ for CARRIE DAMOS MEMORIAL SCHOLARSHIP FUND

Field Data
EIN 26-4633561
Case Number EO-2015264-000360
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARRIE DAMOS MEMORIAL SCHOLARSHIP FUND
Organization’s Mailing Address N4481 HEISE ROAD
City WHITE LAKE
State WI
ZIP 54491
Accounting period End 12
Primary contact name TRACI KOLPACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TRACI KOLPACK
DIRECTOR
N4481 HEISE ROAD
WHITE LAKE WI 54491

Officer/Director/Trustee Two

CLYDE KOLPACK
DIRECTOR
N4481 HEISE ROAD
WHITE LAKE WI 54491

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/2015
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: 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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