FORM 1023-EZ for TRACY JO BLATA MEMORIAL SCHOLARSHIPFUND

Field Data
EIN 81-3229842
Case Number EO-2020230-000334
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRACY JO BLATA MEMORIAL SCHOLARSHIPFUND
Organization’s Mailing Address 701 N CHILSON STREET
City BAY CITY
State MI
ZIP 48706
Accounting period End 12
Primary contact name JOSEPH J BLATA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH BLATA
PRESIDENT
701 N CHILSON STREET
BAY CITY MI 48706

Officer/Director/Trustee Two

GENE MEYER
TRUSTEE
1604 MILLS ROAD
PRESCOTT MI 48756

Officer/Director/Trustee Three

ROSE MEYER
TRUSTEE
1604 MILLS ROAD
PRESCOTT MI 48756

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/2016
Organization Incorporation State MI
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 Yes
Correctness Declaration Yes
Signature Name JOSEPH BLATA
Signature Title PRESIDENT
Signature Date 8/13/2020
EIN 81-3229842
Case Number EO-2016239-000184
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRACYJO BLATA MEMORIAL SCHOLARSHIPFUND
Organization’s Mailing Address 701 NORTH CHILSON
City BAY CITY
State MI
ZIP 48706-1432
Accounting period End 12
Primary contact name JOSEPH BLATA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH BLATA
DIRECTOR
701 NORTH CHILSON
BAY CITY MI 48706-1432

Officer/Director/Trustee Two

GENE MEYER
TREASURER
1604 MILLS ROAD
PRESCOTT MI 48756-9529

Officer/Director/Trustee Three

ROSE MEYER
SECRETARY
1604 MILLS ROAD
PRESCOTT MI 48756-9529

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/2016
Organization Incorporation State MI
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: 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
Signature Title
Signature Date

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