FORM 1023-EZ for MORGAN BETZ MEMORIAL SCHOLARSHIP

Field Data
EIN 82-4435760
Case Number EO-2018128-001019
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MORGAN BETZ MEMORIAL SCHOLARSHIP
Organization’s Mailing Address 23 BRIAN RD
City PETERBOROUGH
State NH
ZIP 3458
Accounting period End 12
Primary contact name KARL BETZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KARL BETZ
PRESIDENT & BOARD MEMBER
23 BRIAN RD
PETERBOROUGH NH 3458

Officer/Director/Trustee Two

JAMES ORR
VICE-PRESIDENT & BOARD MEMBER
20 WOODLAND HEIGHTS 206
PETERBOROUGH NH 3458

Officer/Director/Trustee Three

J THOMAS MITCHELL
TREASURER & BOARD MEMBER
1 DANFORTH LAND
CHELMSFORD MA 2184

Officer/Director/Trustee Four

MICHAEL ROBBE
SECRETARY & BOARD MEMBER
71 ROBBE FARM RD
PETERBOROUGH NH 3458

Officer/Director/Trustee Five

KAREN PLOURDE
BOARD MEMBER
29 KNIGHTLAND RD
BENNINGTON NH 3442

Organization’s website
Organization’s email KBETZ@MEMBERSFIRSTNH.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/18
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 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 KARL BETZ
Signature Title PRESIDENT & BOARD MEMBER
Signature Date 5/3/18

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