FORM 1023-EZ for BRITTANY T WILLIS MEMORIAL SCHOLARSHIP

Field Data
EIN 20-1826929
Case Number EO-2015132-000099
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRITTANY T WILLIS MEMORIAL SCHOLARSHIP
Organization’s Mailing Address 1203 BROOKSIDE DRIVE NW
City WILSON
State NC
ZIP 27896-2136
Accounting period End 12
Primary contact name JUDY WILLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JUDY WILLIS
TREASURER
1203 BROOKSIDE DRIVE NW
WILSON NC 27896-2136

Officer/Director/Trustee Two

RANDALL WILLIS
PRESIDENT
1203 BROOKSIDE DRIVE NW
WILSON NC 27896-2136

Officer/Director/Trustee Three

MILLER GIBBONS
DIRECTOR
130 POINT DRIVE NW
WILSON NC 27896

Officer/Director/Trustee Four

MARIANNE DAVIS
DIRECTOR
1101 PEACHTREE PLACE NW
WILSON NC 27896

Officer/Director/Trustee Five

MICHAEL MCKEEL
DIRECTOR
1215 KINGSWOOD ROAD NW
WILSON NC 27896

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/2004
Organization Incorporation State NC
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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