FORM 1023-EZ for JAMIE D COLLINS SCHOLARSHIP FUND INC

Field Data
EIN 83-1984082
Case Number EO-2018344-000179
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JAMIE D COLLINS SCHOLARSHIP FUND INC
Organization’s Mailing Address 461 SOUTH BROAD STREET
City GLEN ROCK
State NJ
ZIP 7452-1404
Accounting period End 12
Primary contact name JAMES Q COLLINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMIE D COLLINS
PRESIDENT
461 SOUTH BROAD STREET
GLEN ROCK NJ 7452-1404

Officer/Director/Trustee Two

JAMES Q COLLINS
SECRETARY-TREASURER
461 SOUTH BROAD STREET
GLEN ROCK NJ 7452-1404

Officer/Director/Trustee Three

WOODWARD K MOTT
TRUSTEE
461 SOUTH BROAD STREET
GLEN ROCK NJ 7452-1404

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/18
Organization Incorporation State NJ
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMES Q COLLINS
Signature Title SECRETARY-TREASURER
Signature Date 12/6/18

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