FORM 1023-EZ for COOPER ROBERTS AND WHITSON MEMORIALSCHOLARSHIP

Field Data
EIN 84-4843413
Case Number EO-2021242-000619
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COOPER ROBERTS AND WHITSON MEMORIALSCHOLARSHIP
Organization’s Mailing Address 1066 WOODCROFT CHASE NW
City MARIETTA
State GA
ZIP 30064
Accounting period End 6
Primary contact name KENNETH ROBERTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHRYN BURTON
OFFICER
319 GILDERS PRIVATE DRIVE
KINGSPORT TN 37663

Officer/Director/Trustee Two

RODNEY BURTON
BOARD MEMBER
319 GILDERS PRIVATE DRIVE
KINGSPORT TN 37663

Officer/Director/Trustee Three

DEBORAH BUNTING
BOARD MEMBER
2739 WINDJAMMER ROAD
SUFFOLK VT 23435

Officer/Director/Trustee Four

SUSAN LANE
OFFICER
1510 LINVILLE STREET
KINGSPORT TN 37664

Officer/Director/Trustee Five

KENNETH ROBERTS
OFFICER
1066 WOODCROFT CHASE NW
MARIETTA GA 30064

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2019
Organization Incorporation State TN
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 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 KENNETH ROBERTS
Signature Title OFFICER
Signature Date 8/27/2021

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