FORM 1023-EZ for DOUG SHAW SCHOLARSHIP

Field Data
EIN 82-4728666
Case Number EO-2019137-000220
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOUG SHAW SCHOLARSHIP
Organization’s Mailing Address 5808 LONGLEAF DR
City MYRTLE BEACH
State SC
ZIP 29577
Accounting period End 12
Primary contact name TONIA CLEMMONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHEN LEE MCMILLAN JR
PRESIDENT
5808 LONGLEAF DR
MYRTLE BEACH SC 29577

Officer/Director/Trustee Two

MICKEY WILSON
VICE-PRESIDENT
3302 ROBERT GRISSOM PARKWAY
MYRTLE BEACH SC 29577

Officer/Director/Trustee Three

TIM CHRISTY
TREASURER
3302 ROBERT GRISSOM PARKWAY
MYRTLE BEACH SC 29577

Officer/Director/Trustee Four

JENNIFER DENNISON
SECRETARY
3302 ROBERT GRISSOM PARKWAY
MYRTLE BEACH SC 29577

Organization’s website DOUGSHAWGOLF.COM
Organization’s email LM@MSFH.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/18
Organization Incorporation State SC
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name STEPHEN LEE MCMILLAN JR
Signature Title PRESIDENT
Signature Date 5/15/19

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