FORM 1023-EZ for AJM SCHOLARSHIP FOUNDATION INC

Field Data
EIN 46-5550036
Case Number EO-2014318-000336
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AJM SCHOLARSHIP FOUNDATION INC
Organization’s Mailing Address PO BOX 826221
City PEMBROKE PINES
State FL
ZIP 33082
Accounting period End 12
Primary contact name PAMELLA B WATSON CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ATMA MEZIDOR
PRESIDENT
835 S W 159TH AVENUE
PEMBROKE PINES FL 33027

Officer/Director/Trustee Two

JOSIE CINE
VICE PRESIDENT
13201 N W 1ST COURT
MIAMI FL 33168

Officer/Director/Trustee Three

EMANE FLEUREME
SECRETARY
13720 N E MIAMI COURT
MIAMI FL 33161

Officer/Director/Trustee Four

ELIZABETH VILAIRE
TREASURY
998 N E 163RD STREET
N MIAMI BEACH FL 33162

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/18/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 Yes
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
Signature Title
Signature Date

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