FORM 1023-EZ for THE GARYC EPPERHART SCHOLARSHIP

Field Data
EIN 82-0852261
Case Number EO-2018018-000216
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE GARYC EPPERHART SCHOLARSHIP
Organization’s Mailing Address 48 GOLDENROD STREET
City MCCONNELL
State WV
ZIP 25646
Accounting period End 12
Primary contact name THOMASANNA EPPERHART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMASANNA EPPERHART
DIRECTOR
48 GOLDENROD STREET
MCCONNELL WV 25646

Officer/Director/Trustee Two

ANGELA ADKINS
PRESIDENT
BOX 686
SWITZER WV 25647

Officer/Director/Trustee Three

KATHY TAYLOR
SECRETARY
BOX 513
VERDUNVILLE WV 25649

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/17
Organization Incorporation State WV
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 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 THOMASANNA EPPERHART
Signature Title DIRECTOR
Signature Date 1/15/18

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