FORM 1023-EZ for KELLY PHILLIPS MEMORIAL SCHOLARSHIP

Field Data
EIN 47-5104058
Case Number EO-2015338-000328
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KELLY PHILLIPS MEMORIAL SCHOLARSHIP
Organization’s Mailing Address 3842 STUYVESANT NE
City GRAND RAPIDS
State MI
ZIP 49525
Accounting period End 12
Primary contact name KRISTIN E BRITT ATTORNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GERALD N PHILLIPS JR
PRESIDENT DIRECTOR
3842 STUYVESANT NE
GRAND RAPIDS MI 49525

Officer/Director/Trustee Two

MARY JILL PHILLIPS
VICE PRESIDENT
3842 STUYVESANT NE
GRAND RAPIDS MI 49525

Officer/Director/Trustee Three

ERIN PHILLIPS
SECRETARY
3731 FULLER NE
GRAND RAPIDS MI 49525

Officer/Director/Trustee Four

DANA CALHOUN
TREASURER
101 CHICORY STREET NE
COMSTOCK PARK MI 49321

Officer/Director/Trustee Five

PERI PHILLIPS
BOARD MEMBER
408 KENWOOD STREET NE
GRAND RAPIDS MI 49505

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/2015
Organization Incorporation State MI
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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