FORM 1023-EZ for NICK PATTERSON COMMUNITY AND SCHOLARSHIP FUND INC

Field Data
EIN 82-5486254
Case Number EO-2018135-000179
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NICK PATTERSON COMMUNITY AND SCHOLARSHIP FUND INC
Organization’s Mailing Address PO BOX 252
City ROCHESTER
State IN
ZIP 46975
Accounting period End 12
Primary contact name KIEL WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRYAN HOLCOMB
DIRECTOR
1116 MONROE STREET
ROCHESTER IN 46975

Officer/Director/Trustee Two

KIEL WILLIAMS
DIRECTOR
1707 IDLEWILD DRIVE
ROCHESTER IN 46975

Officer/Director/Trustee Three

RYAN MULLIGAN
DIRECTOR
5746 E 350 S
ROCHESTER IN 46975

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 BRYAN HOLCOMB
Signature Title DIRECTOR
Signature Date 5/9/18

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