FORM 1023-EZ for ALEX DOSANI SCHOLARSHIP

Field Data
EIN 83-3206953
Case Number EO-2019038-000455
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALEX DOSANI SCHOLARSHIP
Organization’s Mailing Address 3152 LARRABEE DR
City GENEVA
State IL
ZIP 60134-4212
Accounting period End 12
Primary contact name NANCY HERGENROTHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NANCY HERGENROTHER
PRESIDENT / FOUNDER
3152 LARRABEE DR
GENEVA IL 60134-4214

Officer/Director/Trustee Two

JASON HERGENROTHER
DIRECTOR
3152 LARRABEE DR
GENEVA IL 60134-4214

Officer/Director/Trustee Three

GAIL SKORBERG
SECRETARY
200 HUNT CLUB DRIVE UNIT 104
ST. CHARLES IL 60174

Organization’s website
Organization’s email DOSANISCHOLARSHIPFUND@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/19
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 NANCY HERGENROTHER
Signature Title PRESIDENT / FOUNDER
Signature Date 1/31/19

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