FORM 1023-EZ for BRIAN P SAMPSON SCHOLARSHIP FUND INC

Field Data
EIN 82-4292088
Case Number EO-2018057-000582
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRIAN P SAMPSON SCHOLARSHIP FUND INC
Organization’s Mailing Address 136 PEACH STREET
City BRAINTREE
State MA
ZIP 2184
Accounting period End 12
Primary contact name LAURA POWIS - SECRETARY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH W SAMPSON
PRESIDENT - TREASURER
136 PEACH STREET
BRAINTREE MA 2184

Officer/Director/Trustee Two

DONNA M SAMPSON
FIRST VICE PRESIDENT
39 FOUNTAIN STREET
BRAINTREE MA 2184

Officer/Director/Trustee Three

ALAN B SAMPSON
SECOND VICE PRESIDENT
39 FOUNTAIN STREET
BRAINTREE MA 2184

Officer/Director/Trustee Four

LAURA POWIS
SECRETARY
35 ROSEDALE AVE
HAVERHILL MA 1830

Officer/Director/Trustee Five

ALAN M SAMPSON
DIRECTOR
25 APEX STREET
QUINCY MA 2169

Organization’s website HTTPS://SITES.GOOGLE.COM/VIEW/BRIANPSAMPSONSCHOLARSHIPFUND/HOME
Organization’s email BRIANPSAMPSONSCHOLARSHIP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/18
Organization Incorporation State MA
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: 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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 LAURA POWIS
Signature Title SECRETARY
Signature Date 2/24/18

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