FORM 1023-EZ for HERMAN E NETTLES SCHOLARSHIP FUND INC

Field Data
EIN 45-4549804
Case Number EO-2018179-000315
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HERMAN E NETTLES SCHOLARSHIP FUND INC
Organization’s Mailing Address 4342 ARCH CREEK DRIVE
City JACKSONVILLE
State FL
ZIP 32257
Accounting period End 12
Primary contact name MELVINA EZELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELVINA EZELL
PRESIDENT
4342 ARCH CREEK DRIVE
JACKSONVILLE FL 32257

Officer/Director/Trustee Two

SANDY BELL
VICE PRESIDENT
4342 ARCH CREEK DRIVE
JACKSONVILLE FL 32257

Officer/Director/Trustee Three

LETA PERRY
TREASURER
1112 PRIMROSE VIEW CIR
LAWRENCEVILLE GA 30044

Officer/Director/Trustee Four

MICHAEL ELDER
DIRECTOR
557 BROCKHAM DRIVE
JACKSONVILLE FL 32221

Officer/Director/Trustee Five

CATHERINE KELLY
DIRECTOR
4335 BRIDGDALE ROAD
PENSACOLA FL 32505

Organization’s website N/A
Organization’s email BRENDA@EZELLFIRMPA.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/12
Organization Incorporation State FL
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MELVINA EZELL
Signature Title PRESIDENT
Signature Date 6/26/18

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