FORM 1023-EZ for KYLA DROZD MEMORIAL SCHOLARSHIP

Field Data
EIN 84-5183261
Case Number EO-2020203-000114
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KYLA DROZD MEMORIAL SCHOLARSHIP
Organization’s Mailing Address 8600 S US HIGHWAY 77
City LA GRANGE
State TX
ZIP 78945
Accounting period End 12
Primary contact name ERIC TILLERY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC TILLERY
PRESIDENT
8600 S US HIGHWAY 77
LA GRANGE TX 78945

Officer/Director/Trustee Two

DARLENE BROTHERS
TREASURER
1220 E OLD LOCKHART ROAD
WEST POINT TX 78963

Officer/Director/Trustee Three

JESSICA JANACEK
SECRETARY
611 HIGH HILL CREEK ROAD
LA GRANGE TX 78945

Officer/Director/Trustee Four

KRYSTAL DAHSE
DIRECTOR
313 BUCKEYE TRAIL
LA GRANGE TX 78945

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 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 ERIC TILLERY
Signature Title PRESIDENT
Signature Date 7/16/2020

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