FORM 1023-EZ for DALTON LEE THACKER MEMORIAL SCHOLARSHIP FUND INC

Field Data
EIN 85-2699171
Case Number EO-2021089-000348
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DALTON LEE THACKER MEMORIAL SCHOLARSHIP FUND INC
Organization’s Mailing Address 113 WEST ELM STREET - PO BOX 281
City HARDIN
State MO
ZIP 64035-0281
Accounting period End 12
Primary contact name KIRK THACKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIRK THACKER
PRESIDENT & DIRECTOR
113 WEST ELM STREET - PO BOX 281
HARDIN MO 64035-0281

Officer/Director/Trustee Two

LISA THACKER
VICE-PRESIDENT & DIRECTOR
113 WEST ELM STREET - PO BOX 281
HARDIN MO 64035-0281

Officer/Director/Trustee Three

LISA THACKER
SECRETARY & DIRECTOR
113 WEST ELM STREET - PO BOX 281
HARDIN MO 64035-0281

Officer/Director/Trustee Four

SAM KRUSE
TREASURER & DIRECTOR
300 WEST 3RD STREET
NORBORNE MO 64668-1216

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2020
Organization Incorporation State MO
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 KIRK THACKER
Signature Title PRESIDENT & DIRECTOR
Signature Date 2/10/2021

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