FORM 1023-EZ for FIVE STAR SCHOLARSHIP FOUNDATION INC

Field Data
EIN 47-3434658
Case Number EO-2015079-000162
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FIVE STAR SCHOLARSHIP FOUNDATION INC
Organization’s Mailing Address PO BOX 17196
City PLANTATION
State FL
ZIP 33318
Accounting period End 12
Primary contact name BERRY PIERRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RAMON LOOBY
FOUNDER
PO BOX 17196
PLANTATION FL 33318

Officer/Director/Trustee Two

BERRY PIERRE
CHAIRMEN
PO BOX 17196
PLANTATION FL 33318

Officer/Director/Trustee Three

JARVIS PETERS
PRESIDENT
PO BOX 17196
PLANTATION FL 33318

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2015
Organization Incorporation State FL
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 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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