FORM 1023-EZ for BLM SCHOLARSHIP FUND

Field Data
EIN 84-2385167
Case Number EO-2019198-000221
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLM SCHOLARSHIP FUND
Organization’s Mailing Address 4414 CHERRY HILL DRIVE
City OKEMOS
State MI
ZIP 48864
Accounting period End 12
Primary contact name PAUL MENCHIK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BETTIE MENCHIK
CHAIRWOMAN OF BOARD
4414 CHERRY HILL DRIVE
OKEMOS MI 48864-2914

Officer/Director/Trustee Two

PAUL MENCHIK
PROFESSOR OF ECONOMICS
4414 CHERRY HILL DRIVE
OKEMOS MI 48864-2914

Officer/Director/Trustee Three

ALLAN FALK
ATTORNEY
2010 CIMARRON DRIVE
OKEMOS MI 48864

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/5/19
Organization Incorporation State MI
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BETTIE MENCHIK
Signature Title CHAIRWOMAN OF BOARD
Signature Date 7/15/19

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