| Field | Data |
|---|---|
| EIN | 85-1235732 |
| Case Number | EO-2020296-000628 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SHELLY KAY PETERSEN MEMORIAL SCHOLARSHIP FOUNDATION |
| Organization’s Mailing Address | 2201 CAROLIN DR |
| City | DUNCAN |
| State | OK |
| ZIP | 73533 |
| Accounting period End | 12 |
| Primary contact name | ROBERT H PETERSEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
ROBERT PETERSEN
TREASURER/DIRECTOR
2201 CAROLIN DR
DUNCAN OK 73533
SONYA NABORS
SECRETARY/DIRECTOR
10150 POST OAK RD
NOBLE OK 73068
JAMES PETERSEN
PRESIDENT/DIRECTOR
2608 WILDWOOD PL
DUNCAN OK 73533
BRUCE PETERSEN
DIRECTOR
2701 SUNSET
DUNCAN OK 73533
| Organization’s website | |
|---|---|
| Organization’s email | SHELLYKAYPETERSENMEMORIAL@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/29/2020 |
| Organization Incorporation State | OK |
| 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 | 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 | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | ROBERT PETERSEN |
| Signature Title | TREASURER/DIRECTOR |
| Signature Date | 10/19/2020 |
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