FORM 1023-EZ for STEPHEN CHASE MICKEL SCHOLARSHIP FUND

Field Data
EIN 82-0686459
Case Number EO-2017170-000469
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STEPHEN CHASE MICKEL SCHOLARSHIP FUND
Organization’s Mailing Address 20005 VOLTERA PLACE
City BEND
State OR
ZIP 97702
Accounting period End 12
Primary contact name SHARON MURRAY-ROBERTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVEN MICKEL
DIRECTOR
20046 VOLTERA PL
BEND OR 97702

Officer/Director/Trustee Two

SUZANNE MICKEL
OFFICER
20046 VOLTERA PLACE
BEND OR 97702

Officer/Director/Trustee Three

SHARON MURRAY-ROBERTS
REGISTERED AGENT
20005 VOLTERA PLACE
BEND OR 97702

Officer/Director/Trustee Four

CASEY PARNELL
OFFICER
888 RIVERSIDE BLVD
BEND OR 97703

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
Religious: Yes
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 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
Signature Title
Signature Date

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