FORM 1023-EZ for ELLIOT VAUGHN MEMORIAL SCHOLARSHIPFUND

Field Data
EIN 85-2656602
Case Number EO-2020239-000396
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELLIOT VAUGHN MEMORIAL SCHOLARSHIPFUND
Organization’s Mailing Address 602 PINE RIDGE RD
City JOHNSON CITY
State TN
ZIP 37601
Accounting period End 6
Primary contact name TIFFANY J WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHEL BROUILLETTE
PRESIDENT
473 MATSON RD
JONESBOROUGH TN 37659

Officer/Director/Trustee Two

JIMMY MILLER
VICE PRESIDENT
2 BRIARWOOD COURT
JOHNSON CITY TN 37604

Officer/Director/Trustee Three

SUE ELLIS
TREASURER
1816 SUNDALE RD
JOHNSON CITY TN 37604

Officer/Director/Trustee Four

TIFFANY WILSON
SECRETARY
602 PINE RIDGE RD
JOHNSON CITY TN 37601

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/2020
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B42 - Undergraduate College (4-year)
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 No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name TIFFANY WILSON
Signature Title SECRETARY
Signature Date 8/24/2020

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