FORM 1023-EZ for THE RICAN68 SCHOLARSHIP

Field Data
EIN 82-5474905
Case Number EO-2018136-000253
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE RICAN68 SCHOLARSHIP
Organization’s Mailing Address 235 THRUSTON BLVD W
City OAKWOOD
State OH
ZIP 45419-3335
Accounting period End 12
Primary contact name MATTHEW GWIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW GWIN
PRESIDENT
235 THRUSTON BLVD W
OAKWOOD OH 45419

Officer/Director/Trustee Two

RONALD BARR
CONUS OPS CHAIRMAN
2566 SHORT CUT
URBANA OH 43078

Officer/Director/Trustee Three

MARIO IBARRA
PUERTO RICO CHAIRMAN
VILLA NEVAREZ 1017 18TH ST
SAN JUAN PR 927

Officer/Director/Trustee Four

DAVID KINDRED
FUNDRAISING CHAIRMAN
202 AVE LAGUNA PT LAGOON ESTATES922
CAROLINA PR 979

Officer/Director/Trustee Five

JENNIFER SURGALSKI
ADVISOR
4411 MCKINNEY AVE 26
DALLAS TX 75205

Organization’s website
Organization’s email THERICAN68SCHOLARSHIP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/18
Organization Incorporation State OH
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 Yes
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 No
Correctness Declaration Yes
Signature Name MATTHEW GWIN
Signature Title PRESIDENT
Signature Date 5/11/18

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