FORM 1023-EZ for MICHAEL R SMITH MEMORIAL SCHOLARSHIP

Field Data
EIN 84-4720618
Case Number EO-2020098-000233
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MICHAEL R SMITH MEMORIAL SCHOLARSHIP
Organization’s Mailing Address 16 CIDER MILL LANE
City UPTON
State MA
ZIP 01568
Accounting period End 12
Primary contact name CHRIS DEMERJIAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTIN NELSON
PRESIDENT
340 TURNPIKE DRIVE
CAMDEN ME 04843

Officer/Director/Trustee Two

CHRIS DEMERJIAN
TREASURER
16 CIDER MILL LANE
UPTON MA 01568

Officer/Director/Trustee Three

BRETT SIMAS
VICE PRESIDENT
7 BARBARAS PATH
UPTON MA 01568

Officer/Director/Trustee Four

LESLIE FINKE
RECORDING SECRETARY
25 FAYETTE STREET
CONCORD NH 03301

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2020
Organization Incorporation State MA
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: 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 CHRIS DEMERJIAN
Signature Title TREASURER
Signature Date 4/5/2020

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