FORM 1023-EZ for ZACHARY JIMENEZ MEMORIAL SCHOLARSHIP

Field Data
EIN 47-3290810
Case Number EO-2015064-000274
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ZACHARY JIMENEZ MEMORIAL SCHOLARSHIP
Organization’s Mailing Address 6975 W LOUSIANA AVE
City LAKEWOOD
State CO
ZIP 80232
Accounting period End 12
Primary contact name AMBER ESCOBEDO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AMBER ESCOBEDO
DIRECTOR
6975 W LOUISANA AVE
LAKEWOOD CO 80232

Officer/Director/Trustee Two

KIM JIMENEZ
DIRECTOR
1194 30 1/2 LANE
PUEBLO CO 81006

Officer/Director/Trustee Three

ERIC JIMENEZ
DIRECTOR
1194 30 1/2 LANE
PUEBLO CO 81006

Officer/Director/Trustee Four

JOSHUA JIMENEZ
DIRECTOR
9924 FAIRWOOD ST
LITTLETON CO 80125

Organization’s website ZACHARYJIMENEZMEMORIALSCHOLARSHIP.COM
Organization’s email BOOBOOPRINCESS@MSN.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/2014
Organization Incorporation State CO
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
Signature Title
Signature Date

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