FORM 1023-EZ for CLARENCE F HOLMES OMEGA PSI PHI FRATERNITY MEMORIAL SCHOLARSHIP FUND

Field Data
EIN 84-1220026
Case Number EO-2015348-000347
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLARENCE F HOLMES OMEGA PSI PHI FRATERNITY MEMORIAL SCHOLARSHIP FUND
Organization’s Mailing Address PO BOX 371501
City DENVER
State CO
ZIP 80237-5501
Accounting period End 12
Primary contact name DWIGHT GENTRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THERON GREGORY LAGRIE
CHAIRMAN
24446 E GLASGOW CIRCLE
AURORA CO 80016

Officer/Director/Trustee Two

KIRK DUNHAM
VICE CHAIRMAN
20321 E KELLY
DENVER CO 80239

Officer/Director/Trustee Three

DWIGHT T GENTRY
TREASURER
4843 E GREENWICH PL
HIGHLANDS RANCH CO 80130

Officer/Director/Trustee Four

DAOUD HADEE
SECRETARY
2600 GLENCOE ST
DENVER CO 80207

Officer/Director/Trustee Five

MIKA EL HERU
MEMBER
4872 ODESSA ST
DENVER CO 80249

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/1993
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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