FORM 1023-EZ for CMSA SCHOLARSHIP FUND INC

Field Data
EIN 20-2735524
Case Number EO-2016226-000078
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CMSA SCHOLARSHIP FUND INC
Organization’s Mailing Address PO BOX 157
City ROSWELL
State NM
ZIP 88202
Accounting period End 12
Primary contact name MARK MARLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK MARLEY
OFFICER
HC 30 BOX 1495
ROSWELL NM 88201

Officer/Director/Trustee Two

JIM RODGERS
OFFICER
14142 E PEAKVIEW ROAD
SCOTTSDALE AZ 85262

Officer/Director/Trustee Three

MARY ELLEN LANTIS
OFFICER
PO BOX 699
SPEARFISH SD 57783

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/2005
Organization Incorporation State AZ
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: No
Religious: No
Educational: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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