FORM 1023-EZ for DR DAVID M MCCONNELL MEMORIAL SCHOLARSHIP FUND

Field Data
EIN 85-1418089
Case Number EO-2020169-000273
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DR DAVID M MCCONNELL MEMORIAL SCHOLARSHIP FUND
Organization’s Mailing Address 141 WESTLEDGE ROAD
City WEST SIMSBURY
State CT
ZIP 06092
Accounting period End 12
Primary contact name JAMES E MCCONNELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES MCCONNELL
MANAGING DIRECTOR
141 WESTLEDGE ROAD
WEST SIMSBURY CT 06092

Officer/Director/Trustee Two

CAROLYN MCCONNELL
DIRECTOR
PO BOX 859
KENNEBUNK ME 04043

Officer/Director/Trustee Three

BRIAN MCCONNELL
DIRECTOR
71 KIMBERLY ROAD
EAST GRANBY CT 06026

Officer/Director/Trustee Four

SHARON MCCONNELL- DICKERSON
DIRECTOR
411 DICKERSON LANE
COLUMBUS MS 39705

Officer/Director/Trustee Five

MARK MCCONNELL
DIRECTOR
7945 E 37TH ST
YUMA AZ 85364

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/2020
Organization Incorporation State CT
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: No
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 JAMES MCCONNELL
Signature Title MANAGING DIRECTOR
Signature Date 6/15/2020

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