FORM 1023-EZ for BE A JEWEL INC

Field Data
EIN 82-4785205
Case Number EO-2018110-000208
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BE A JEWEL INC
Organization’s Mailing Address 2156 E MONROE TERRACE
City SPRINGFIELD
State MO
ZIP 65802
Accounting period End 12
Primary contact name CHERYL CLAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERYL CLAY
EXECUTIVE DIRECTOR
2156 E MONROE TERRACE
SPRINGFIELD MO 65802

Officer/Director/Trustee Two

DAISY TOLLIVER
ASSISTANT DIRECTOR
3770 N AMELIA
SPRINGFIELD MO 65803

Officer/Director/Trustee Three

GINA MARIE WALDEN
SECRETARY
397 E CENTRAL
SPRINGFIELD MO 65802

Officer/Director/Trustee Four

SAMUEL KNOX
TREASURER
2640 N LYON
SPRINGFIELD MO 65803

Officer/Director/Trustee Five

LOLA BUTCHER
BOARD MEMBER AT LARGE
211 S MARKET - 215
SPRINGFEILD MO 65806

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHERYL CLAY
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/18/18

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