FORM 1023-EZ for DERRINGER CADE OMEGA PSI PHI IOTA THETA MEMORIAL SCHOLARSHIP
| Field | Data |
|---|---|
| EIN | 84-2005424 |
| Case Number | EO-2019206-000098 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | DERRINGER CADE OMEGA PSI PHI IOTA THETA MEMORIAL SCHOLARSHIP |
| Organization’s Mailing Address | 901 THAMES |
| City | COLUMBIA |
| State | MO |
| ZIP | 65202 |
| Accounting period End | 12 |
| Primary contact name | JOHN DOUGLAS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
STERLING BROWN
PRISIDENT
901 THAMES CT
COLUMBIA MO 65202
Officer/Director/Trustee Two
JOHN DOUGLAS
KEEPER OF RECORDS
1212 THACKERY CT
NAPERVILLE IL 60564
Officer/Director/Trustee Three
MARK TAYLOR
VICE PRESIDENT
3880 THISTLEDOWN DR
FLORISSANT MO 63033
Officer/Director/Trustee Four
STANLEY MUHAMMAD
VICE PRESIDENT
9100 W FLAMINGO RD
LAS VEGAS NV 89149
Officer/Director/Trustee Five
KEITH YOUNGBLOOD
VICE PRESIDENT
14423 CAMRO AVE
NORWALK CA 90650
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/8/19 |
| Organization Incorporation State | MO |
| 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: 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 | 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 | JOHN DOUGLAS |
| Signature Title | KEEPER OF RECORDS |
| Signature Date | 7/23/19 |
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