FORM 1023-EZ for TIMOTHY HELTON MEMORIAL SCHOLARSHIP FUND

Field Data
EIN 82-4791021
Case Number EO-2018106-000130
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TIMOTHY HELTON MEMORIAL SCHOLARSHIP FUND
Organization’s Mailing Address 536 STONEYBROOK DRIVE
City DANVILLE
State KY
ZIP 40422
Accounting period End 12
Primary contact name KIM HELTON COX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIM HELTON COX
PRESIDENT
536 STONEYBROOK DRIVE
DANVILLE KY 40422

Officer/Director/Trustee Two

SANDY HELTON EMBREE
VICE PRESIDENT
125 LITTLE NEEDMORE ROAD
DANVILLE KY 40422

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/18
Organization Incorporation State KY
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: 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 KIM HELTON COX
Signature Title PRESIDENT
Signature Date 4/6/18

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