FORM 1023-EZ for DR LORI STILLWELL MEMORIAL SCHOLARSHIP

Field Data
EIN 82-5528038
Case Number EO-2018333-000256
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DR LORI STILLWELL MEMORIAL SCHOLARSHIP
Organization’s Mailing Address 392 ZAGAR LOOP
City LEESVILLE
State LA
ZIP 71446
Accounting period End 12
Primary contact name BILLIE STILLWERLL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RALPH STILLWELL
PRESIDENT
392 ZAGAR LOOP
LEESVILLE LA 71446

Officer/Director/Trustee Two

BILLIE STILLWELL
SECRETARY TREASURER
392 ZAGAR LOOP
LEESVILLE LA 71446

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/18
Organization Incorporation State LA
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: 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 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 RALPH STILLWELL
Signature Title PRESIDENT
Signature Date 11/27/18

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