FORM 1023-EZ for PICKENS COUNTY COLLEGE AND CAREER SCHOLARSHIP FOUNDATION INC

Field Data
EIN 82-1532109
Case Number EO-2017137-000421
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PICKENS COUNTY COLLEGE AND CAREER SCHOLARSHIP FOUNDATION INC
Organization’s Mailing Address 377 LADOW CENTER CIRCLE
City CARROLLTON
State AL
ZIP 35447
Accounting period End 12
Primary contact name JAMES W CHAPMAN JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARSHA KILPATRICK
PRESIDENT
100 MARVIN CHAPEL ROAD
CARROLLTON AL 35447

Officer/Director/Trustee Two

JENNIFER ALLEN
SECRETARY
425 CARROLLTON ROAD
ALICEVILLE AL 35442

Officer/Director/Trustee Three

SAM WIGGINS
TREASURER
PO BOX 417
Carrollton AL 35466

Officer/Director/Trustee Four

JAMES CHAPMAN JR
REGISTERED AGENT
377 LADOW CENTER CIRCLE
CARROLLTON AL

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/2017
Organization Incorporation State AL
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
Signature Title
Signature Date

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