FORM 1023-EZ for JEFF WALKER MEMORIAL SCHOLARSHIP FUND

Field Data
EIN 47-2765191
Case Number EO-2015061-000422
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JEFF WALKER MEMORIAL SCHOLARSHIP FUND
Organization’s Mailing Address 6309 MARY LEE WAY
City HIGH POINT
State NC
ZIP 27265
Accounting period End 12
Primary contact name ERIC V DICKINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ERIC DICKINSON
MEMBER
6309 MARY LEE WAY
HIGH POINT NC 27265

Officer/Director/Trustee Two

LESLIE WALKER
MEMBER
1967 LONGMEADOW PARK
SISSONVILLE WV 25320

Officer/Director/Trustee Three

GERRI THIERBACH
MEMBER
4550 PICKNEY COURT
KERNERSVILLE NC 28274

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/2015
Organization Incorporation State WV
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 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
Signature Title
Signature Date

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