FORM 1023-EZ for CARNER FAMILY SCHOLARSHIP FOUNDATION INC

Field Data
EIN 85-0620723
Case Number EO-2021104-000470
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARNER FAMILY SCHOLARSHIP FOUNDATION INC
Organization’s Mailing Address 114 STEWART DR
City WARNER ROBINS
State GA
ZIP 31093
Accounting period End 12
Primary contact name CLARENCE CARNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLARENCE CARNER
PRESIDENT
114 STEWART DR
WARNER ROBINS GA 31093

Officer/Director/Trustee Two

CLARKE A PERRY
VICE PRESIDENT
6914 SOURWOOD LANE
FT. WASHINGTON MD 20744

Officer/Director/Trustee Three

ALICIA CARNER-MCDONALD
TREASURER
2368 MCINTOSH DR
LOCUST GROVE GA 30248

Officer/Director/Trustee Four

YAUNDALYN EBRON
SECRETARY
14216 HIDDEN FOREST DR
ACCOKEEK MD 20607

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/19/2020
Organization Incorporation State GA
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 CLARENCE CARNER
Signature Title PRESIDENT
Signature Date 4/9/2021

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