FORM 1023-EZ for CHRIS WORKMAN MEMORIAL SCHOLARSHIPFUND INC

Field Data
EIN 47-1735729
Case Number EO-2019030-000324
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHRIS WORKMAN MEMORIAL SCHOLARSHIPFUND INC
Organization’s Mailing Address P O BOX 493
City RUPERT
State ID
ZIP 83350-493
Accounting period End 12
Primary contact name THOMAS J KATSILOMETES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNA WORKMAN
DIRECTOR
89 W 142 NORTH
RUPERT ID 83350-9384

Officer/Director/Trustee Two

JOHN R WORKMAN
DIRECTOR
89 W 142 NORTH
RUPERT ID 83350-9384

Officer/Director/Trustee Three

HARRY C WORKMAN
DIRECTOR
2360 N MCCLURE LN
KUNA ID 83634-1263

Officer/Director/Trustee Four

SHARLIE WORKMAN
DIRECTOR
2360 N MCCLURE LN
KUNA ID 83634-1263

Officer/Director/Trustee Five

WILLIAM HAND
PRESIDENT
1635 CRACKER CREEK CT
OVIEDO FL 32765-5645

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/14
Organization Incorporation State ID
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 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 ANNA WORKMAN
Signature Title DIRECTOR
Signature Date 12/24/18
EIN 47-1735729
Case Number EO-2019030-000324
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHRIS WORKMAN MEMORIAL SCHOLARSHIP FUND INC
Organization’s Mailing Address P O BOX 493
City RUPERT
State ID
ZIP 83350-493
Accounting period End 12
Primary contact name THOMAS J KATSILOMETES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNA WORKMAN
DIRECTOR
89 W 142 NORTH
RUPERT ID 83350-9384

Officer/Director/Trustee Two

JOHN R WORKMAN
DIRECTOR
89 W 142 NORTH
RUPERT ID 83350-9384

Officer/Director/Trustee Three

HARRY C WORKMAN
DIRECTOR
2360 N MCCLURE LN
KUNA ID 83634-1263

Officer/Director/Trustee Four

SHARLIE WORKMAN
DIRECTOR
2360 N MCCLURE LN
KUNA ID 83634-1263

Officer/Director/Trustee Five

WILLIAM HAND
PRESIDENT
1635 CRACKER CREEK CT
OVIEDO FL 32765-5645

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/14
Organization Incorporation State ID
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 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 ANNA WORKMAN
Signature Title DIRECTOR
Signature Date 12/24/18

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