FORM 1023-EZ for STACEY DION MEMORIAL SCHOLARSHIP INC

Field Data
EIN 84-3581937
Case Number EO-2020183-000237
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STACEY DION MEMORIAL SCHOLARSHIP INC
Organization’s Mailing Address 217 18TH AVENUE
City INDIAN ROCKS BEACH
State FL
ZIP 33785
Accounting period End 12
Primary contact name ANNA COX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN DION
PRESIDENT
217 18TH AVENUE
INDIAN ROCKS BEACH FL 33785

Officer/Director/Trustee Two

ANNA COX
TREASURER
217 18TH AVENUE
INDIAN ROCKS BEACH FL 33785

Officer/Director/Trustee Three

ROBERT DION
SECRETARY
217 18TH AVENUE
INDIAN ROCKS BEACH FL 33785

Officer/Director/Trustee Four

PAULINE WIGGIN
DIRECTOR (1)
217 18TH AVENUE
INDIAN ROCKS BEACH FL 33785

Officer/Director/Trustee Five

JODY WIGGIN
DIRECTOR (2)
217 18TH AVENUE
INDIAN ROCKS BEACH FL 33785

Organization’s website HTTP://WWW.SDIONMS.ORG
Organization’s email INFO@SDIONMS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/2019
Organization Incorporation State FL
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 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 ANNA COX
Signature Title TREASURER
Signature Date 6/29/2020

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