FORM 1023-EZ for DR JERRY V BURNS MEMORIAL SCHOLARSHIP FUND

Field Data
EIN 47-2441522
Case Number EO-2016067-000370
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DR JERRY V BURNS MEMORIAL SCHOLARSHIP FUND
Organization’s Mailing Address 999 GREENE AVENUE
City BROOKLYN
State NY
ZIP 11221
Accounting period End 12
Primary contact name TYNESE TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TYNESE TAYLOR
DIRECTOR
155-42 116TH AVENUE
JAMAICA NY 11434

Officer/Director/Trustee Two

DELORES BURNS
SECRETARY
39 MACDOUGAL STREET
BROOKLYN NY 11233

Officer/Director/Trustee Three

BERNARD TAYLOR
TREASURER
155-42 116TH AVENUE
JAMAICA NY 11434

Organization’s website WWW.DRJERRYVBURNSMEMORIALSCHOLARSHIP.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/2014
Organization Incorporation State NY
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 No
One Third Support Gifts Yes
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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