FORM 1023-EZ for JAMES DAVIES MEMORIAL SCHOLARSHIP FUND

Field Data
EIN 46-5641833
Case Number EO-2015057-000087
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JAMES DAVIES MEMORIAL SCHOLARSHIP FUND
Organization’s Mailing Address 8924 W CAPRI AVE
City LITTLETON
State CO
ZIP 80123
Accounting period End 12
Primary contact name TAMARA L DAVIES TAMI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TAMARA DAVIES
FOUNDER
8924 W CAPRI AVE
LITTLETON CO 80123

Officer/Director/Trustee Two

YOLONA MARSHALL
PRESIDENT
9148 PRINCETON ST
HIGHLANDS RANCH CO 80130

Officer/Director/Trustee Three

DAVID MOZELL
VICE PRESIDENT
685 JOSEPH CIRCLE
GOLDEN CO 80403

Officer/Director/Trustee Four

LAMONT PERRY
SECRETARY AND TREASURER
18200 W COLFAX AVE
GOLDEN CO 80401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/2014
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T20 - Private Grantmaking Foundations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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
Signature Title
Signature Date

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