FORM 1023-EZ for GIBSON ARMED SERVICES SCHOLARSHIP FUND INC

Field Data
EIN 47-3381461
Case Number EO-2016221-000187
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GIBSON ARMED SERVICES SCHOLARSHIP FUND INC
Organization’s Mailing Address 1777 MT TABOR RD
City RED SPRINGS
State NC
ZIP 28377
Accounting period End 7
Primary contact name TIMOTHY J PETERKIN ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DESMOND EMILLIEN
BOARD OF DIRECTORS
PO BOX 723782
ATLANTA GA 28377

Officer/Director/Trustee Two

NATASHIA BENOIT
BOARD OF DIRECTORS
5010 BUECHE RD
PORT ALLEN LA 70767

Officer/Director/Trustee Three

MICHAEL GIBSON
BOARD OF DIRECTORS
1777 MT TABOR RD
RED SPRINGS NC 28377

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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