FORM 1023-EZ for SHAE STELLY MEMORIAL SCHOLARSHIP FUND INC

Field Data
EIN 84-2638401
Case Number EO-2021039-000184
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHAE STELLY MEMORIAL SCHOLARSHIP FUND INC
Organization’s Mailing Address 1030 SANDY LANE
City ARNAUDVILLE
State LA
ZIP 70512
Accounting period End 12
Primary contact name KASEY MELANCON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KASEY MELANCON
PRESIDENT
1030 SANDY LANE
ARNAUDVILLE LA 70512

Officer/Director/Trustee Two

CHRISTIAN RAY
TREASURER
1374 GRAND ANSE HWY
BREAUX BRIDGE LA 70517

Officer/Director/Trustee Three

GARRETT SAVANT
SECRETARY
1685A GRAND ANSE HWY
BREAUX BRIDGE LA 70517

Officer/Director/Trustee Four

CANDIS MELANCON
DIRECTOR
1030 SANDY LANE
ARNAUDVILLE LA 70512

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/2019
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 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) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KASEY MELANCON
Signature Title PRESIDENT
Signature Date 12/15/2020

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