FORM 1023-EZ for JM MEMORIAL SCHOLARSHIP

Field Data
EIN 47-5000036
Case Number EO-2015254-000265
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JM MEMORIAL SCHOLARSHIP
Organization’s Mailing Address 4252 FRASER CIR
City NAPERVILLE
State IL
ZIP 60564
Accounting period End 12
Primary contact name ANIL KAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANIL KUMAR KAR
DIRECTOR
4252 FRASER CIRCLE
NAPERVILLE IL 60564

Officer/Director/Trustee Two

PARTHA SARATI MOHAPATRA
DIRECTOR
922 MILWAUKEE AVE 2209
LUBBOCK TX 79416

Officer/Director/Trustee Three

ABANI RANJAN SAMAL
DIRECTOR
3347 W CORSICA DRIVE
RIVERTON UT 84065

Officer/Director/Trustee Four

RAJU AYYAGARI
DIRECTOR
12323 NE 92ND ST
KIRKLAND WA 98033

Officer/Director/Trustee Five

ANIL KUMAR KAR
TREASURER
4252 FRASER CIRCLE
NAPERVILLE IL 60564

Organization’s website
Organization’s email JMMEMORIAL2015@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2015
Organization Incorporation State IL
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: 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 Yes
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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