FORM 1023-EZ for PHI UPSILON ZETA SCHOLARSHIP FOUNDATION INC

Field Data
EIN 81-3838336
Case Number EO-2016260-000116
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PHI UPSILON ZETA SCHOLARSHIP FOUNDATION INC
Organization’s Mailing Address 7 EAST MARKET STREET SUITE 102
City LEEBURG
State VA
ZIP 20176
Accounting period End 6
Primary contact name LORRIE A SINCLAIR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LATASHA WILLIAMS
PRESIDENT
1404 ESPLANADE DRIVE
RESTON VA 20194

Officer/Director/Trustee Two

MARIJIA BAILEY
TREASURER
20895 ASHBURN HEIGHTS DRIVE
ASHBURN VA 20148

Officer/Director/Trustee Three

ERICKA BOONE
SECRETARY
37 TOWN CENTER DRIVE
LOVETTSVILLE VA 20180

Officer/Director/Trustee Four

TONYA FREEMAN
DIRECTOR
3534 MCWHORTER COURT UNIT E
FORT MEADE, VA 20755

Officer/Director/Trustee Five

LORRIE SINCLAIR
DIRECTOR
7 E MARKET STREET
LEESBURG VA 20176

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T40 - Voluntarism Promotion
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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