FORM 1023-EZ for THE JOE FORZLEY MEMORIAL SCHOLARSHIP FUND

Field Data
EIN 85-4312526
Case Number EO-2021056-000540
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE JOE FORZLEY MEMORIAL SCHOLARSHIP FUND
Organization’s Mailing Address 1019 SALIM
City LEMONT
State IL
ZIP 60439
Accounting period End 1
Primary contact name SAMUEL FORZLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL FORZLEY
REGISTERED AGENT AND DIRECTOR
1019 SALIM
LEMONT IL 60439-3896

Officer/Director/Trustee Two

SHARON MOCHEL
DIRECTOR
1549 ASHBURY CIRCLE
LEMONT IL 60439-8434

Officer/Director/Trustee Three

MARK FORZLEY
DIRECTOR
130 S GRANT STREET
WESTMONT IL 60559-1908

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B25 - Secondary, High School
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: Yes
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 SAMUEL FORZLEY
Signature Title REGISTERED AGENT AND DIRECTOR
Signature Date 1/9/2021

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