FORM 1023-EZ for PENDARVIS SCHOLARSHIP FUND

Field Data
EIN 85-2830027
Case Number EO-2021083-000106
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PENDARVIS SCHOLARSHIP FUND
Organization’s Mailing Address 20125 NORTH 2300TH ROAD
City PRAIRIE CITY
State IL
ZIP 61470
Accounting period End 12
Primary contact name JOHN D MCMILLAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY PENDARVIS
PRESIDENT
20125 NORTH 2300TH ROAD
PRAIRIE CITY IL 61470

Officer/Director/Trustee Two

HOLLY BRINT
SECRETARY-TREASURER
17500 NORTH 2300TH ROAD
GOOD HOPE IL 61438

Officer/Director/Trustee Three

JEFF PENDARVIS
VICE PRESIDENT
19685 NORTH 2400TH ROAD
AVON IL 61415

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2020
Organization Incorporation State IL
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: No
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 MARY PENDARVIS
Signature Title PRESIDENT
Signature Date 10/9/2020

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