FORM 1023-EZ for THE ARCHIE EUGENE AND ANNIE SIMSJONES CARTER EDUCATIONAL FOUNDATION

Field Data
EIN 82-5503652
Case Number EO-2018257-000334
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE ARCHIE EUGENE AND ANNIE SIMSJONES CARTER EDUCATIONAL FOUNDATION
Organization’s Mailing Address 2101 ARROWHEAD TRAIL
City SANTA CLARA
State UT
ZIP 84765
Accounting period End 12
Primary contact name BLAINE WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BLAINE RICKS WILSON
REGISTERED AGENT AND DIRECTOR
2101 ARROWHEAD TRAIL
SANTA CLARA UT 84765

Officer/Director/Trustee Two

JOYCE CARTER WILSON
DIRECTOR
2101 ARROWHEAD TRAIL
SANTA CLARA UT 84765

Officer/Director/Trustee Three

BLAINE RICKS WILSON
DIRECTOR
2101 ARROWHEAD TRAIL
SEAL BEACH CA 90740

Officer/Director/Trustee Four

CATHY ANN CARTER FOSTER
DIRECTOR
828 N BRISTOL STREET
NAMPA ID 83651

Officer/Director/Trustee Five

RICHARD ALLEN CARTER
DIRECTOR
1807 28TH STREET
ARLINGTON VA 22202

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/18
Organization Incorporation State UT
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: Yes
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 BLAINE RICKS WILSON
Signature Title REGISTERED AGENT AND DIRECTOR
Signature Date 9/12/18
EIN 82-5503652
Case Number EO-2018257-000334
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE ARCHIE EUGENE AND ANNIE SIMS JONES CARTER EDUCATIONAL FOUNDATION
Organization’s Mailing Address 2101 ARROWHEAD TRAIL
City SANTA CLARA
State UT
ZIP 84765
Accounting period End 12
Primary contact name BLAINE WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BLAINE RICKS WILSON
REGISTERED AGENT AND DIRECTOR
2101 ARROWHEAD TRAIL
SANTA CLARA UT 84765

Officer/Director/Trustee Two

JOYCE CARTER WILSON
DIRECTOR
2101 ARROWHEAD TRAIL
SANTA CLARA UT 84765

Officer/Director/Trustee Three

BLAINE RICKS WILSON
DIRECTOR
2101 ARROWHEAD TRAIL
SEAL BEACH CA 90740

Officer/Director/Trustee Four

CATHY ANN CARTER FOSTER
DIRECTOR
828 N BRISTOL STREET
NAMPA ID 83651

Officer/Director/Trustee Five

RICHARD ALLEN CARTER
DIRECTOR
1807 28TH STREET
ARLINGTON VA 22202

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/18
Organization Incorporation State UT
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: Yes
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 BLAINE RICKS WILSON
Signature Title REGISTERED AGENT AND DIRECTOR
Signature Date 9/12/18

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