FORM 1023-EZ for JERMAINE A SIMS JR FOUNDATION INC

Field Data
EIN 83-1269155
Case Number EO-2019203-000578
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JERMAINE A SIMS JR FOUNDATION INC
Organization’s Mailing Address PO BOX 16272
City TALLAHASSEE
State FL
ZIP 32317
Accounting period End 7
Primary contact name JANETTA SIMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERMAINE SIMS
CEO
1631 OSPREY POINTE DR
TALLAHASSEE FL 32308

Officer/Director/Trustee Two

JANETTA SIMS
VICE PRESIDENT
1631 OSPREY POINTE DR
TALLAHASSEE FL 32308

Officer/Director/Trustee Three

YASHICA SQUIRE
ASST. DIRECTOR OF OPERATIONS
2651 BALDWIN DRIVE SOUTH
TALLAHASSEE FL 32309

Officer/Director/Trustee Four

KATRICE BOYD
ASST. DIRECTOR PR/COMMUNITY AFFAIRS
410 VICTORY GARDEN DR
TALLAHASSEE FL 32301

Officer/Director/Trustee Five

ANTHONY COLEMAN
ASST. DIRECTOR OF FINANCE
4313 SALT MARSH LANE
CHESAPEAKE VA 23324

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JANETTA SIMS
Signature Title VICE PRESIDENT
Signature Date 7/20/19

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