FORM 1023-EZ for PHS ALUMNI SCHOLARSHIP ASSOCIATION

Field Data
EIN 37-1656746
Case Number EO-2017030-000309
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PHS ALUMNI SCHOLARSHIP ASSOCIATION
Organization’s Mailing Address 5494 COLEMAN CREEK ROAD
City MEDFORD
State OR
ZIP 97501
Accounting period End 6
Primary contact name MARGARET CROLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARLA DRAHEIM-CONNELL
PRESIDENT
2852 CEDAR LINKS DRIVE
MEDFORD OR 97504

Officer/Director/Trustee Two

NANCY OLSON-JONES
VICE-PRESIDENT
1021 BEESON ROAD
TALENT OR 97540

Officer/Director/Trustee Three

LEONA BLANKENSHIP
SECRETARY
530 PALO VERDE WAY
CENTRAL POINT OR 97502

Officer/Director/Trustee Four

MARGARET CROLY
TREASURER
5494 COLEMAN CREEK ROAD
MEDFORD OR 97501

Organization’s website NONE
Organization’s email RLCMAC3441@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2015
Organization Incorporation State OR
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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