FORM 1023-EZ for JAMES CONKLIN MEMORIAL SCHOLARSHIP
| Field | Data |
|---|---|
| EIN | 81-4917392 |
| Case Number | EO-2021265-000286 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | JAMES CONKLIN MEMORIAL SCHOLARSHIP |
| Organization’s Mailing Address | 5 CHADDARIN LANE |
| City | PLYMOUTH |
| State | NH |
| ZIP | 03264 |
| Accounting period End | 12 |
| Primary contact name | MICHAEL CONKLIN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MICHAEL CONKLIN
DIRECTOR
5 CHADDARIN LANE
PLYMOUTH NH 03264
Officer/Director/Trustee Two
DEBORAH REYNOLDS
DIRECTOR
5 CHADDARIN LANE
PLYMOUTH NH 03264
Officer/Director/Trustee Three
SHELBY JO PLUMMER
DIRECTOR
1214 WEST FOSTER AVE
CHICAGO IL 60657
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/16/2017 |
| 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: 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | MICHAEL CONKLIN |
| Signature Title | DIRECTOR |
| Signature Date | 9/20/2021 |
| EIN | 81-4917392 |
| Case Number | EO-2017095-000322 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | JAMES CONKLIN MEMORIAL SCHOLARSHIP |
| Organization’s Mailing Address | 3328 NORTH CLARK ST |
| City | CHICAGO |
| State | IL |
| ZIP | 60657-1621 |
| Accounting period End | 12 |
| Primary contact name | MICHAEL CONKLIN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SHELBY JO PLUMMER
PRESIDENT/DIRECTOR
3328 NORTH CLARK ST
CHICAGO IL 60657-1621
Officer/Director/Trustee Two
DEBORAH REYNOLDS
TREASURER
5 CHADDARIN LANE
PLYMOUTH NH 03264
Officer/Director/Trustee Three
MICHAEL CONKLIN
DIRECTOR
5 CHADDARIN LANE
PLYMOUTH NH 03264
Officer/Director/Trustee Four
ZACHARY DIMOND
DIRECTOR
4021 NORTH BROADWAY APT 25
CHICAGO IL 60613
Officer/Director/Trustee Five
GRIFFIN WENZLER
DIRECTOR
2453 NORTH BURLING ST
CHICAGO IL 60614
| Organization’s website | WWW.JAMESCONKLINMEMORIALSCHOLARSHIP.COM |
|---|---|
| Organization’s email | INFO@JAMESCONKLINMEMORIALSCHOLARSHIP.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/16/2017 |
| 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 | 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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