| Field | Data |
|---|---|
| EIN | 82-4028916 |
| Case Number | EO-2018036-000159 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MARK TANK FORMAN MEMORIAL SCHOLARSHIP INC |
| Organization’s Mailing Address | 2809 FRANCIS AVE |
| City | LEVENWORTH |
| State | IL |
| ZIP | 66048 |
| Accounting period End | 12 |
| Primary contact name | BRADFORD COMBS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
BRADFORD COMBS
PRESIDENT
1009 LAKEWOOD DRIVE
OTTAWA IL 61350
HEATHER ALLSION
TREASURER
2809 FRANCIS AVE
LEAVENWORTH KS 66048
STEVE SHORT
SECRETARY
301 BROOKWOOD STREET
LANSING KS 66043
JOE ALLSION
ASSISTANT SECRETARY
2809 FRANCIS AVE
LEAVENWORTH KS 66048
DAVE SERGENTI
BOARD MEMBER AT LARGE
1013 LAKEWOOD DRIVE
OTTAWA IL 61350
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/15/17 |
| Organization Incorporation State | KS |
| 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 | 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 | BRADFORD COMBS |
| Signature Title | PRESIDENT |
| Signature Date | 2/1/18 |
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