FORM 1023-EZ for WALTERS - BLOUNT SCHOLARSHIP FUND INC

Field Data
EIN 82-2276175
Case Number EO-2018113-000337
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WALTERS - BLOUNT SCHOLARSHIP FUND INC
Organization’s Mailing Address 6067 NW 56TH CIRCLE
City CORAL SPRINGS
State FL
ZIP 33067
Accounting period End 12
Primary contact name VERNON BLOUNT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VERNON BLOUNT
PRESIDENT
6067 NW 56TH CIRCLE
CORAL SPRINGS FL 33067

Officer/Director/Trustee Two

MONIKA BLOUNT
SECRETARY
9310 MADISON DRIVE
ATLANTA GA 30346

Officer/Director/Trustee Three

MORGAN BLOUNT
TREASURER
8842 INDIGO TRAIL LOOP
RIVERVIEW FL 33578

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/17
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name VERNON BLOUNT
Signature Title PRESIDENT
Signature Date 4/19/18

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