FORM 1023-EZ for ROBERT LEE BATES MEMORIAL SCHOLARSHIP FOUNDATION

Field Data
EIN 85-3871614
Case Number EO-2021023-000089
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROBERT LEE BATES MEMORIAL SCHOLARSHIP FOUNDATION
Organization’s Mailing Address 17317 136TH AVENUE COURT EAST
City PUYALLUP
State WA
ZIP 98374
Accounting period End 11
Primary contact name JAY BATES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAY BATES
PRESIDENT
17317 136TH AVENUE COURT EAST
PUYALLUP WA 98374

Officer/Director/Trustee Two

KEVIN BATES
VICE PRESIDENT
3417 NORTON
EVERETT WA 98201

Officer/Director/Trustee Three

MALI PONNIKAS
TREASURER
1044 GREENWAY AVENUE
FIRCREST WA 98466

Officer/Director/Trustee Four

CONNOR BATES
SECRETARY
17317 136TH AVENUE COURT EAST
PUYALLUP WA 98374

Organization’s website
Organization’s email JAYABATES@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2020
Organization Incorporation State WA
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAY BATES
Signature Title PRESIDENT
Signature Date 12/6/2020

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