FORM 1023-EZ for GIVE ME A CHANCE SCHOLARSHIP

Field Data
EIN 84-1181048
Case Number EO-2020296-000313
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GIVE ME A CHANCE SCHOLARSHIP
Organization’s Mailing Address 12235 EAST 14TH AVE
City AURORA
State CO
ZIP 80011
Accounting period End 4
Primary contact name HENRI ANNA DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HENRI ANNA DAVIS
PRESIDENT
12235 EAST 13TH AVE
AURORA CO 80011

Officer/Director/Trustee Two

MARC DAVIS
1ST VICE PRESIDENT
12235 EAST 13TH AVE
AURORA CO 80011

Officer/Director/Trustee Three

REGGIE DAVIS
2ND VICE PRESIDENT
17926 EAST 107TH WAY
COMMERCE CITY CO 80022

Officer/Director/Trustee Four

TATIANA DAVIS
SECRETARY - TREASURER
455 HELENA ST
AURORA CO 80011

Officer/Director/Trustee Five

LORETTA TOLBERT
ASSISSTANT SECRETARY
2500 ONEIDA ST
DENVER CO 80207

Organization’s website
Organization’s email HENRIANNADAVIS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/1992
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name HENRI ANNA DAVIS
Signature Title PRESIDENT
Signature Date 10/17/2020

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