FORM 1023-EZ for ETA ALPHA SCHOLARSHIP FOUNDATION

Field Data
EIN 82-2948224
Case Number EO-2019259-000207
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ETA ALPHA SCHOLARSHIP FOUNDATION
Organization’s Mailing Address P O BOX 915
City COLUMBIA
State MO
ZIP 65205
Accounting period End 10
Primary contact name CAMERON SOLOMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH FERGUSON
DIRECTOR
340 TOMAHAWK ROAD
JEFFERSON CITY MO 65101

Officer/Director/Trustee Two

CAMERON SOLOMON
ASSISTANT DIRECTOR
P O BOX 915
COLUMBIA MO 65205

Officer/Director/Trustee Three

ERNEST WILSON
SECRETARY/TREASURER
820 CRESTMERE COURT
JEFFERSON CITY MO 65109

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/17
Organization Incorporation State MO
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: No
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 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 CAMERON SOLOMON
Signature Title ASSISTANT DIRECTOR
Signature Date 9/14/19

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