FORM 1023-EZ for CAEL SCOTT EVANS MEMORIAL FUND INC

Field Data
EIN 83-3841867
Case Number EO-2019074-000794
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAEL SCOTT EVANS MEMORIAL FUND INC
Organization’s Mailing Address 18529 WALTERS RD
City RUSSELL
State KS
ZIP 67665
Accounting period End 12
Primary contact name SHAWN EVANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWN EVANS
PRESIDENT
18529 WALTERS RD
RUSSELL KS 67665

Officer/Director/Trustee Two

SARA EVANS
VICE PRESIDENT
18529 WALTERS RD
RUSSELL KS 67665

Officer/Director/Trustee Three

SAMANTHA SCHWIEN
SECRETARY
418 NORTH MAPLE
RUSSELL KS 67665

Officer/Director/Trustee Four

CADE EVANS
TRUSTEE
18529 WALTERS RD
RUSSELL KS 67666

Officer/Director/Trustee Five

ALYSSA EVANS
TRUSTEE
18529 WALTERS
RUSSELL KS 67665

Organization’s website
Organization’s email ETS08@RURALTEL.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/31/19
Organization Incorporation State KS
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 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 SHAWN EVANS
Signature Title PRESIDENT
Signature Date 3/13/19

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