FORM 1023-EZ for CASEY SAUERS MEMORIAL SCHOLARSHIP

Field Data
EIN 82-1519408
Case Number EO-2017139-000179
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CASEY SAUERS MEMORIAL SCHOLARSHIP
Organization’s Mailing Address 3115 PRIMROSE LANE
City WINNEMUCCCA
State NV
ZIP 89445
Accounting period End 12
Primary contact name CANDICE SAUERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN SAUERS
DIRECTOR
3115 PRIMROSE
WINNEMUCCA NV 89445

Officer/Director/Trustee Two

CANDICE SAUERS
DIRECTOR
3115 PRIMROSE
WINNEMUCCA NV 89445

Officer/Director/Trustee Three

SHELBY SAUERSR
DIRECTOR
3205 KENSINGTON
WINNEMUCCA NV 89445

Officer/Director/Trustee Four

SAMORA RUDOLF
DIRECTOR
610 EAST NATIONAL
WINNEMUCCA NV 89445

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2017
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: Yes
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 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 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
Signature Title
Signature Date

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