FORM 1023-EZ for JBM OUTREACH INC

Field Data
EIN 84-4883697
Case Number EO-2020086-000127
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JBM OUTREACH INC
Organization’s Mailing Address 111 BOWENS MILL ROAD
City DOUGLAS
State GA
ZIP 31533
Accounting period End 12
Primary contact name JEROME BURKETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEROME BURKETT
FOUNDER AND PRESIDENT
111 BOWENS MILL ROAD
DOUGLAS GA 31533

Officer/Director/Trustee Two

JEANETTE DENISE BURKETT
COFOUNDER AND SECRETARY
111 BOWENS MILL ROAD
DOUGLAS GA 31533

Officer/Director/Trustee Three

JACQUIE TYRE
BOARD MEMBER
4755 GRAN RIVER GLN
PEACHTREE CORNERS GA 30096

Officer/Director/Trustee Four

DON LYNCH
BOARD MEMBER
12146 MILLFORD LANE NORTH
JACKSONVILLE FL 32246

Officer/Director/Trustee Five

CLAY NASH
BOARD MEMBER
3940 CARROLL DRIVE
HORNLAKE GA 38637

Organization’s website N/A
Organization’s email JBM.DENISE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 JEROME BURKETT
Signature Title FOUNDER AND PRESIDENT
Signature Date 3/24/2020

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