FORM 1023-EZ for CHAD DORRILL MEMORIAL SCHOLARSHIP FUND

Field Data
EIN 85-3311903
Case Number EO-2020295-000561
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHAD DORRILL MEMORIAL SCHOLARSHIP FUND
Organization’s Mailing Address 147 WENTWORTH DRIVE
City WINSTON SALEM
State NC
ZIP 27107-6169
Accounting period End 12
Primary contact name ZACH NICHOLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT DORRILL
DIRECTOR
147 WENTWORTH DRIVE
WINSTON SALEM NC 27107-6169

Officer/Director/Trustee Two

SUSAN DORRILL
DIRECTOR
147 WENTWORTH DRIVE
WINSTON SALEM NC 27107-6169

Officer/Director/Trustee Three

ZACH NICHOLS
SECRETARY
109 COYOTE CROSSING COURT
WINSTON SALEM NC 27107-6169

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/2020
Organization Incorporation State NC
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: 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ZACH NICHOLS
Signature Title SECRETARY
Signature Date 10/13/2020

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