FORM 1023-EZ for LEVIN HANK PURNELL MEMORIAL SCHOLARSHIP FUND

Field Data
EIN 83-0938780
Case Number EO-2018172-000273
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEVIN HANK PURNELL MEMORIAL SCHOLARSHIP FUND
Organization’s Mailing Address 3019 BUCKLEIGH DR
City CHARLOTTE
State NC
ZIP 28215
Accounting period End 12
Primary contact name DOMINIQUE TATE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TREVOR TATE
PRESIDENT
5631 GOVANE AVE
BALTIMORE MD 21212

Officer/Director/Trustee Two

DOMINIQUE TATE
TREASURER
5631 GOVANE AVE
BALTIMORE NC 28215

Officer/Director/Trustee Three

WESLEY HENRY
CHAIRMAN
3312 OFFUTT RD
RANDALLSTOWN MD 21133

Officer/Director/Trustee Four

WILLIAM KELLY
BOARD MEMBER
2404 DRESSAGE COURT
UPPER MARLBORO MD 20774

Officer/Director/Trustee Five

TERELL BYERS
BOARD MEMBER
227 ARBOR VISTA LANE
OWINGS MILLS MD 21117

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/17
Organization Incorporation State MD
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 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 DOMINIQUE TATE
Signature Title TREASURER
Signature Date 6/19/18

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