FORM 1023-EZ for ROSE SCHOLARSHIP FUND IN MEMORY OFDAVY & RECIE NICKERSON

Field Data
EIN 86-2542655
Case Number EO-2021099-001729
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROSE SCHOLARSHIP FUND IN MEMORY OFDAVY & RECIE NICKERSON
Organization’s Mailing Address 37 BERG AVENUE
City TRENTON
State NJ
ZIP 08610-4901
Accounting period End 12
Primary contact name DR TIONYA GREEN PHD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELE A NICKERSON KEY
PRESIDENT
37 BERG AVENUE
TRENTON NJ 08610-4901

Officer/Director/Trustee Two

LACHELE JENKINS
CHAIRMAN
214 GRANT STREET
RIVERSIDE NJ 08075-3726

Officer/Director/Trustee Three

GISELLE MCKENZIE
SECRETARY
35 DANIEL DRIVE
FRANKLIN PARK NJ 08823-1340

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/2021
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: Yes
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 MICHELE A NICKERSON KEY
Signature Title PRESIDENT
Signature Date 3/22/2021

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