FORM 1023-EZ for DR CHARLES ROBERTS SCHOLARSHIP FUND

Field Data
EIN 85-3663825
Case Number EO-2020318-000386
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DR CHARLES ROBERTS SCHOLARSHIP FUND
Organization’s Mailing Address 206 FISHERMANS COVE
City LIZELLA
State GA
ZIP 31052-3325
Accounting period End 12
Primary contact name ADAH MARIE ROBERTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADAH ROBERTS
CHAIRPERSON
206 FISHERMANS CV
LIZELLA GA 31052-3325

Officer/Director/Trustee Two

REGINALD ROBERTS
VICE CHAIRPERSON
5105 KINDERSTON DR
HOLLY SPRINGS NC 27540-9184

Officer/Director/Trustee Three

TAMARA ROBERTS
SECRETARY
14070 HARRISON PARKWAY
FISHERS IN 46038-4541

Officer/Director/Trustee Four

BENJAMIN ROBERTS
TREASURER
5175 BROOKE FARM DR
ATLANTA GA 30338-3180

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2020
Organization Incorporation State GA
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) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ADAH ROBERTS
Signature Title CHAIRPERSON
Signature Date 11/11/2020

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