FORM 1023-EZ for DOUGLAS W HICK SCHOLARSHIP FUND INC

Field Data
EIN 86-3540494
Case Number EO-2021245-000431
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOUGLAS W HICK SCHOLARSHIP FUND INC
Organization’s Mailing Address PO BOX 1798
City DUXBURY
State MA
ZIP 02331
Accounting period End 12
Primary contact name PAIGE PALER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH RITCH
SECRETARY
15 ORANGE STREET
CHELSEA MA 02150

Officer/Director/Trustee Two

PAIGE BALER
TREASURER
5611 SPANISH HORSE
OCEANSIDE CA 92057

Officer/Director/Trustee Three

BRIAN KELLEHER
PRESIDENT
505 HOLLOWELL AVE
HERMOSA BEACH CA 90254

Officer/Director/Trustee Four

CHAD TASSELL
DIRECTOR
6517 ALTAIR CT
SAN DIEGO CA 92120

Officer/Director/Trustee Five

LEE JACKSON
DIRECTOR
433 LINCOLN DRIVE
CHESHIRE CT 06410

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2021
Organization Incorporation State MA
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 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 BRIAN KELLEHER
Signature Title PRESIDENT
Signature Date 8/31/2021

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