FORM 1023-EZ for THE SCHOLAR ATHLETICS FOUNDATION

Field Data
EIN 84-3877669
Case Number EO-2019343-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SCHOLAR ATHLETICS FOUNDATION
Organization’s Mailing Address 4348 A TRIPLE CROWN DRIVE
City CONCORD
State NC
ZIP 28027
Accounting period End 12
Primary contact name DERRICK NIX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DERRICK NIX
EXECUTIVE DIRECTOR
4348A TRIPLE CROWN
CONCORD NC 28027-8925

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/24/2019
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 Yes
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 DERRICK NIX
Signature Title EXECUTIVE DIRECTOR
Signature Date 12/5/2019

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