FORM 1023-EZ for KHALITA C JONES MEMORIAL SCHOLARSHIP

Field Data
EIN 81-3973699
Case Number EO-2016285-000567
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KHALITA C JONES MEMORIAL SCHOLARSHIP
Organization’s Mailing Address 433 ROGERS ROAD
City LEXINGTON
State NC
ZIP 27292
Accounting period End 12
Primary contact name JOSEPHINE B JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPHINE JONES
DIRECTOR
433 ROGERS ROAD
LEXINGTON NC 27292

Officer/Director/Trustee Two

SYLVIA WALSER
ASST. DIRECTOR
110 LINDEN LANE
LEXINGTON NC 27292

Officer/Director/Trustee Three

SAVANNAH ADDERTON
MEMBER
304 WAFFORD ROAD
LEXINGTON NC 27292

Officer/Director/Trustee Four

ANTHEA JONES
MEMBER
20 HIGHFIELD COURT
GREER SC 29650

Officer/Director/Trustee Five

ANDREA JONES
MEMBER
20 HIGHFIELD COURT
GREER SC 29650

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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 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
Signature Title
Signature Date

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