FORM 1023-EZ for MARILYN KATHENA & KAVIN MATHIS SCHOLARSHIP FUND

Field Data
EIN 87-0983929
Case Number EO-2021155-000149
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MARILYN KATHENA & KAVIN MATHIS SCHOLARSHIP FUND
Organization’s Mailing Address PO BOX 191
City EARLE
State AR
ZIP 72331
Accounting period End 12
Primary contact name DEXTER DUMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEXTER DUMAS
DIRECTOR
90 MATHIS ROAD
CRAWFORDSVILLE AR 72327

Officer/Director/Trustee Two

JUANITA BOHANON
TRUSTEE
802 BARTON
EARLE AR 72331

Officer/Director/Trustee Three

TARA COLEMAN
TRUSTEE
9145 PRARIE HEN DRIVE
FORT WORTH TX 76177

Officer/Director/Trustee Four

CLAUDIE FORREST
TRUSTEE
16432 HWY 64 E
EARLE AR 72331

Officer/Director/Trustee Five

JARRION HARRIS
TRUSTEE
43426 WENDY WAY
LANCASTER CA 93536

Organization’s website NA
Organization’s email MKMSCHOLARSHIP@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/2021
Organization Incorporation State AR
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: 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 DEXTER DUMAS
Signature Title DIRECTOR
Signature Date 6/2/2021

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