FORM 1023-EZ for CAMP 14 ANB ANS SCHOLARSHIP PROGRAM

Field Data
EIN 81-4214745
Case Number EO-2016319-000537
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMP 14 ANB ANS SCHOLARSHIP PROGRAM
Organization’s Mailing Address PO BOX 6704
City KETCHIKAN
State AK
ZIP 99901
Accounting period End 10
Primary contact name JAMES A LLANOS JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES A LLANOS JR
CHAIR
1370 DEER MOUNTAIN CT
KETCHIKAN AK 99901

Officer/Director/Trustee Two

MARY JONES
VICE CHAIR
PO BOX 575
WARD COVE AK 99928

Officer/Director/Trustee Three

CYNTHIA LLANOS
TREASURER
1370 DEER MOUNTAIN CT
KETCHIKAN AK 99901

Officer/Director/Trustee Four

GEORGE JAMES JR
SECRETARY
1123 BLACK BEAR RD
KETCHIKAN AK 99901

Organization’s website HTTP://WWW.CAMP14.COM
Organization’s email WEBMASTER@CAMP14.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/2016
Organization Incorporation State AK
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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