FORM 1023-EZ for NEVADA STATE MEDICAL ASSOCIATION SCHOLARSHIP FUND CORPORATION

Field Data
EIN 81-5179131
Case Number EO-2017046-000213
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEVADA STATE MEDICAL ASSOCIATION SCHOLARSHIP FUND CORPORATION
Organization’s Mailing Address 3770 BARRON WAY
City RENO
State NV
ZIP 89511
Accounting period End 12
Primary contact name WELDON HAVINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HOWARD BARON
PRESIDENT
3196 S MARYLAND PKWY SUITE 309
LAS VEGAS NV 89109

Officer/Director/Trustee Two

MARIETTA NELSON
SECRETARY
8241 UNICORN STREET
LAS VEGAS NV 89131

Officer/Director/Trustee Three

RONALD SWANGER
TREASURER
590 EUREKA AVENUE
RENO NV 89512

Officer/Director/Trustee Four

STEVEN PARKER
DIRECTOR
1104 IVY COURT
RENO NV 89511

Officer/Director/Trustee Five

JOE HOLLEN
DIRECTOR
4741 CAUGHLIN PKWY STE 309
RENO NV 89519

Organization’s website N/A
Organization’s email WHAVINS@COX.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2017
Organization Incorporation State NV
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: No
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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