FORM 1023-EZ for COLTON SHAW SCHOLARSHIP FUND INC

Field Data
EIN 81-1563882
Case Number EO-2016190-000717
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COLTON SHAW SCHOLARSHIP FUND INC
Organization’s Mailing Address 37 GRAND BAY SCHOOL LANE
City LAKELAND
State GA
ZIP 31635
Accounting period End 12
Primary contact name CLAYTON W SHAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLAYTON SHAW
PRESIDENT
37 GRAND BAY SCHOOL LANE
LAKELAND GA 31635

Officer/Director/Trustee Two

GWIN SHAW
TREASURER
37 GRAND BAY SCHOOL LANE
LAKELAND GA 31635

Officer/Director/Trustee Three

JOSHUA SHAW
SECRETARY
3654 KNIGHTS MILL DRIVE
VALDOSTA GA 31605

Officer/Director/Trustee Four

GREG TURNER
DIRECTOR
7605 WILLIAM T WALKER ROAD
HAHIRA GA 31632

Officer/Director/Trustee Five

SHANNON CHANDLER
DIRECTOR
211 ROBIN PLACE
HAHIRA GA 31632

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/2016
Organization Incorporation State GA
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 Yes
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
Signature Title
Signature Date

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