FORM 1023-EZ for PIERCE COUNTY MEMORIAL SCHOLARSHIPFUND

Field Data
EIN 81-3696872
Case Number EO-2019030-001016
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PIERCE COUNTY MEMORIAL SCHOLARSHIPFUND
Organization’s Mailing Address 930 TACOMA AVE S
City TACOMA
State WA
ZIP 98402
Accounting period End 12
Primary contact name TOM CATEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERESA BERG
PRESIDENT
930 TACOMA AVE S
TACOMA WA 98402

Officer/Director/Trustee Two

TOM CATEY
TREASURER
930 TACOMA AVE S
TACOMA WA 98402

Officer/Director/Trustee Three

LYNELLE ANDERSON
DIRECTOR
930 TACOMA AVE S
TACOMA WA 98402

Officer/Director/Trustee Four

JAMES LEOFFELHOLTZ
VICE PRESIDENT
930 TACOMA AVE S
TACOMA WA 98402

Officer/Director/Trustee Five

GAYLE PERRO
SECRETARY
930 TACOMA AVE S
TACOMA WA 98402

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/15
Organization Incorporation State WA
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 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 TOM CATEY
Signature Title TREASURER
Signature Date 12/29/18
EIN 81-3696872
Case Number EO-2019030-001016
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PIERCE COUNTY MEMORIAL SCHOLARSHIP FUND
Organization’s Mailing Address 930 TACOMA AVE S
City TACOMA
State WA
ZIP 98402
Accounting period End 12
Primary contact name TOM CATEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERESA BERG
PRESIDENT
930 TACOMA AVE S
TACOMA WA 98402

Officer/Director/Trustee Two

TOM CATEY
TREASURER
930 TACOMA AVE S
TACOMA WA 98402

Officer/Director/Trustee Three

LYNELLE ANDERSON
DIRECTOR
930 TACOMA AVE S
TACOMA WA 98402

Officer/Director/Trustee Four

JAMES LEOFFELHOLTZ
VICE PRESIDENT
930 TACOMA AVE S
TACOMA WA 98402

Officer/Director/Trustee Five

GAYLE PERRO
SECRETARY
930 TACOMA AVE S
TACOMA WA 98402

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/15
Organization Incorporation State WA
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 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 TOM CATEY
Signature Title TREASURER
Signature Date 12/29/18

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