FORM 1023-EZ for VICTORIA BRISTOW MEMORIAL EMS SCHOLARSHIP PROGRAM

Field Data
EIN 83-0586479
Case Number EO-2018290-000390
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VICTORIA BRISTOW MEMORIAL EMS SCHOLARSHIP PROGRAM
Organization’s Mailing Address 210 LEE STREET
City COLUMBIA
State AL
ZIP 31324
Accounting period End 12
Primary contact name TRINITY INGRAM-JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRINITY INGRAM-JONES
PRESIDENT
299 MCGREGOR CIRCLE
RICHMOND HILL GA 31324

Officer/Director/Trustee Two

DANIEL BRISTOW
VICE-PRESIDENT
1808 HAISTEN DRIVE
DOTHAN AL 36301

Officer/Director/Trustee Three

MELINDA LUTHER
SECRETARY
5335 SOULE DRIVE
PANAMA CITY FL 32404

Officer/Director/Trustee Four

MELODY HENDRIX
TREASURER
205 SHADY GROVE LANE
MIDLAND CITY AL 36350

Officer/Director/Trustee Five

DEBORAH VALIS-FLYNN
DIRECTOR
9015 PARLOR DRIVE
LADSON SC 29456

Organization’s website N/A
Organization’s email VBRISTOWSCHOLARSHIP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/18
Organization Incorporation State AL
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: Yes
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 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 TRINITY INGRAM-JONES
Signature Title PRESIDENT
Signature Date 10/15/18

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