FORM 1023-EZ for LAURA HARBOUR SCOTT FOUNDATION

Field Data
EIN 82-3874138
Case Number EO-2018005-000212
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAURA HARBOUR SCOTT FOUNDATION
Organization’s Mailing Address 318 CENTER ST N
City VIENNA
State VA
ZIP 22180-4517
Accounting period End 12
Primary contact name MARY L BERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY L BERG
VICE PRESIDENT/TREASURER
318 CENTER ST N
VIENNA VA 22180

Officer/Director/Trustee Two

JEREMY SCOTT
PRESIDENT
6040 4TH ST N
ARLINGTON VA 22203-1076

Officer/Director/Trustee Three

ALLISON SIGNORELLI
SECRETARY
1077 NORTH MANCHESTER ST
ARLINGTON VA 22205-1643

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/17
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARY L BERG
Signature Title VICE PRESIDENT/TREASURER
Signature Date 1/3/18

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