FORM 1023-EZ for MICHAEL BOTEIN MEMORIAL SCHOLARSHIPFUND

Field Data
EIN 81-3494607
Case Number EO-2016224-000407
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MICHAEL BOTEIN MEMORIAL SCHOLARSHIPFUND
Organization’s Mailing Address 204 WARREN STREET
City BROOKLINE
State MA
ZIP 02445
Accounting period End 12
Primary contact name MATTHEW BOTEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW BOTEIN
DIRECTOR, TREASURER
204 WARREN STREET
BROOKLINE MA 02445

Officer/Director/Trustee Two

SUSAN BOTEIN
DIRECTOR
204 WARREN STREET
BROOKLINE MA 02445

Officer/Director/Trustee Three

KRISTINA FISCHER
PRESIDENT, DIRECTOR
630 HAMILTON ROAD
SOUTH ORANGE NJ 07079

Officer/Director/Trustee Four

ELIZABETH WALKER
DIRECTOR, SECRETARY
20 SUMMER STREET
ACTON MA 01720

Officer/Director/Trustee Five

ISAAC WALKER
DIRECTOR
20 SUMMER STREET
ACTON MA 01720

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/2016
Organization Incorporation State DE
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 Yes
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
Signature Title
Signature Date

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