FORM 1023-EZ for DAN-ALLARD-SCHOLARSHIP-FUND

Field Data
EIN 81-2969100
Case Number EO-2016174-000072
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DAN-ALLARD-SCHOLARSHIP-FUND
Organization’s Mailing Address PO BOX 6542
City LACONIA
State NH
ZIP 03247
Accounting period End 12
Primary contact name TIMOTHY JAMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIMOTHY JAMES
MANAGING DIRECTOR
PO BOX 6542
LACONIA NH 03247

Officer/Director/Trustee Two

SCOTT EVERETT
DIRECTOR
5423 EDGE HOLLOW PLACE
DALLAS TX 75287

Officer/Director/Trustee Three

LINDA NOURY
DIRECTOR
PO BOX 116
NORTH SANDWICH NH 03259

Officer/Director/Trustee Four

EDWARD SCHMID
DIRECTOR
PO BOX 116
NORTH SANDWICH NH 03259

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2016
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B42 - Undergraduate College (4-year)
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 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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