FORM 1023-EZ for LISA NELSON MEMORIAL SCHOLARSHIP

Field Data
EIN 46-2206294
Case Number EO-2014240-000571
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LISA NELSON MEMORIAL SCHOLARSHIP
Organization’s Mailing Address 10751 W 77TH PLACE
City ARVADA
State CO
ZIP 80005-3607
Accounting period End 12
Primary contact name JACQULYN NOONAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAUL NELSON
CHAIRMAN
10751 W 77TH PLACE
ARVADA CO 80005-3607

Officer/Director/Trustee Two

LARRY Schamp
PRESIDENT
6462 W 81ST AVE
Arvada CO 80003-2007

Officer/Director/Trustee Three

JACQULYN Noonan
TREASURER
10303 E DRY CREEK ROAD
Englewood CO 80112-1580

Officer/Director/Trustee Four

KRISTI JAMES
SECRETARY
3370 BOULDER CIRCLE UNIT 101
BROOMFIELD CO 80023-4286

Organization’s website WWW.LISANELSONMEMORIAL.ORG
Organization’s email LISANELSONSCHOLARSHIP@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/2013
Organization Incorporation State CO
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
Signature Title
Signature Date

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