FORM 1023-EZ for MENTAL HEALTH SCHOLARSHIP FUND

Field Data
EIN 84-2013752
Case Number EO-2020101-000131
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENTAL HEALTH SCHOLARSHIP FUND
Organization’s Mailing Address 321 W HOLLY AVE
City PITMAN
State NJ
ZIP 08071
Accounting period End 6
Primary contact name AMBER THOMASON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMBER THOMASON
PRESIDENT
321 W HOLLY AVE
PITMAN NJ 08071

Officer/Director/Trustee Two

AMBER BOWEN
VICE-PRESIDENT
118 5TH AVE
PITMAN NJ 08071

Officer/Director/Trustee Three

MINDY THOMASON
TREASURER
739 BRIDGETON PIKE
MONROEVILLE NJ 08343

Officer/Director/Trustee Four

PAUL BOWEN
SECRETARY
118 5TH AVE
PITMAN NJ 08071

Officer/Director/Trustee Five

NA NA
NA
NA
NA NJ 00000

Organization’s website
Organization’s email MHSCHOLARSHIP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/2019
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - Fund Raising and/or Fund Distribution
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name AMBER THOMASON
Signature Title PRESIDENT
Signature Date 4/8/2020

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