FORM 1023-EZ for BETA ZETA SCHOLARSHIP ENDOWMENT FUND

Field Data
EIN 84-3941266
Case Number EO-2019350-000198
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BETA ZETA SCHOLARSHIP ENDOWMENT FUND
Organization’s Mailing Address 1729 GENESIS DRIVE
City DUBLIN
State GA
ZIP 31021
Accounting period End 12
Primary contact name ODELL ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JORAY WRIGHT
CHAIRMAN OF THE BOARD
528 RABBIT RUN
WEST LAFAYETTE IN 47906

Officer/Director/Trustee Two

LANORRIS NIXON
CHIEF EXECUTIVE OFFICER
4070 SWEETWATER PKWY
ELLENWOOD GA 30294

Officer/Director/Trustee Three

DERRICK FLOYD
CHIEF OPERATING OFFICER
705 FOURTH STREET
ATHENS GA 30605

Officer/Director/Trustee Four

WESLEY MURPHY
CHIEF FINANCIAL OFFICER
6579 MARTINS CREEK
AUSTELL GA 30168

Officer/Director/Trustee Five

ODELL ANDERSON
TRUSTEE
1729 GENESIS DRIVE
DUBLIN GA 31021

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/2019
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - Single Organization Support
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 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 ODELL ANDERSON
Signature Title TRUSTEE
Signature Date 12/12/2019

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