FORM 1023-EZ for SUICIDE PREVENTION SCHOLARSHIP IN HONOR OF NOLAN MICHAEL EDGREEN

Field Data
EIN 86-2094552
Case Number EO-2021109-000263
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUICIDE PREVENTION SCHOLARSHIP IN HONOR OF NOLAN MICHAEL EDGREEN
Organization’s Mailing Address 6302 WOODCHUCK DR
City PENDLETON
State IN
ZIP 46064
Accounting period End 12
Primary contact name LAYTON JOHN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAYTON JOHN
PRESIDENT
6302 WOODCHUCK DR
PENDLETON IN 46064

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/2021
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F11 - Single Organization Support
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name LAYTON JOHN
Signature Title PRESIDENT
Signature Date 4/15/2021

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