FORM 1023-EZ for JOHN PAUL ROBERTS MEMORIAL SCHOLARSHIP FUND

Field Data
EIN 47-4318519
Case Number EO-2018249-000237
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JOHN PAUL ROBERTS MEMORIAL SCHOLARSHIP FUND
Organization’s Mailing Address 551 HENRY CAMP ROAD
City ST MARYS
State WV
ZIP 26170-4812
Accounting period End 12
Primary contact name GINA ROBERTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GINA ROBERTS
AUTHORIZED SIGNATURE
551 HENRY CAMP ROAD
ST MARYS WV 26170-4812

Officer/Director/Trustee Two

OWEN ROBERTS
AUTHORIZED SIGNATURE
2256 ALICE ROAD
COXS MILLS WV 26342

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/15
Organization Incorporation State WV
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GINA ROBERTS
Signature Title AUTHORIZED SIGNATURE
Signature Date 9/4/18
EIN 47-4318519
Case Number EO-2016074-000274
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JOHN PAUL ROBERTS MEMORIAL SCHOLARSHIP FUND
Organization’s Mailing Address 551 HENRY CAMP ROAD
City SAINT MARYS
State WV
ZIP 26170-4812
Accounting period End 12
Primary contact name GINA SCHWEINSBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GINA SCHWEINSBERG
PRESIDENT
551 HENRY CAMP RD
SAINT MARYS WV 26170-4812

Officer/Director/Trustee Two

OWEN ROBERTS
VICE-PRESIDENT
2256 ALICE ROAD
COX'S MILLS WV 26342

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/2015
Organization Incorporation State WV
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: 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 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
Signature Title
Signature Date

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