FORM 1023-EZ for FULLERS FUND INC

Field Data
EIN 84-4060382
Case Number EO-2021064-000918
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FULLERS FUND INC
Organization’s Mailing Address 1960 KINGSGATE DRIVE
City TUSCALOOSA
State AL
ZIP 35406
Accounting period End 12
Primary contact name SCOTT GOLDSMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT GOLDSMITH
DIRECTOR
1960 KINGSGATE DRIVE
TUSCALOOSA AL 35406

Officer/Director/Trustee Two

MELISSA GOLDSMITH
DIRECTOR
1960 KINGSGATE DRIVE
TUSCALOOSA AL 35406

Officer/Director/Trustee Three

KATHERINE MANDERSON
DIRECTOR
1564 WATERFALL PARKWAY
TUSCALOOSA AL 35406

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/5/2019
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SCOTT GOLDSMITH
Signature Title DIRECTOR
Signature Date 1/6/2021

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