FORM 1023-EZ for LARRY GOBLE MEMORIAL SCHOLARSHIP FUND

Field Data
EIN 83-4536260
Case Number EO-2020099-000123
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LARRY GOBLE MEMORIAL SCHOLARSHIP FUND
Organization’s Mailing Address 2325 ELK SHOALS CHURCH LOOP
City STONY POINT
State NC
ZIP 28678
Accounting period End 12
Primary contact name TAMARA GOBLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMARA GOBLE
OFFICER
2325 ELK SHOALS CHURCH LOOP
STONY POINT NC 28678

Officer/Director/Trustee Two

LINDA ANDERSON
OFFICER
2817 HIGH RIDGE ROAD
CHARLOTTE NC 28270

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TAMARA GOBLE
Signature Title OFFICER
Signature Date 4/6/2020

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