FORM 1023-EZ for THE SEAN H HEALY MEMORIAL SCHOLARSHIP FUND

Field Data
EIN 82-1983390
Case Number EO-2019035-000800
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SEAN H HEALY MEMORIAL SCHOLARSHIP FUND
Organization’s Mailing Address 1010 19TH STREET APT 8
City SANTA MONICA
State CA
ZIP 90403
Accounting period End 12
Primary contact name GERARD A HEALY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANCES HEALY
PRESIDENT
1010 19TH STREET NO 8
SANTA MONICA CA 90403

Officer/Director/Trustee Two

ANDREW WATTERS
TREASURER
801 NORTH HUMBOLT ST
SAN MATEO CA 94401

Officer/Director/Trustee Three

GERARD HEALY
SECRETARY
1010 19TH STREET NO 8
SANTA MONICA CA 90403

Officer/Director/Trustee Four

SHANNON SKINNER
DIRECTOR
14738 WHITFIELD AVE
PACIFIC PALISADES CA 90272

Officer/Director/Trustee Five

MATHEW LORENZ
DIRECTOR
326 6TH STREET
EAST NORWICH NY 11731

Organization’s website
Organization’s email HEALY@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/17
Organization Incorporation State CA
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 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 GERARD HEALY
Signature Title SECRETARY
Signature Date 1/13/19

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