FORM 1023-EZ for NATIONAL TRANSPLANT SCHOLARSHIP FUND A NON PROFIT CORPORATION

Field Data
EIN 47-4654160
Case Number EO-2015264-000460
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NATIONAL TRANSPLANT SCHOLARSHIP FUND A NON PROFIT CORPORATION
Organization’s Mailing Address P O BOX 406
City KIRKLAND
State WA
ZIP 98083
Accounting period End 12
Primary contact name COLIN L RINES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

COLIN RINES
CO PRESIDENT
12020 100 AVE NE M103
KIRKLAND WA 98083

Officer/Director/Trustee Two

AMEEN TABATABAI
CO PRESIDENT
9200 REDMOND WOODINVILLE ROAD D322
REDMOND WA 98052

Officer/Director/Trustee Three

ELIZABETH VANESSA WHITACRE
SECRETARY
P O BOX 2752
KIRKLAND WA 98083

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/2015
Organization Incorporation State WA
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: No
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 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
Signature Title
Signature Date

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