FORM 1023-EZ for JAMESONS JOY MEMORIAL SERVICE FOUNDATION

Field Data
EIN 83-4077546
Case Number EO-2019092-000238
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JAMESONS JOY MEMORIAL SERVICE FOUNDATION
Organization’s Mailing Address 310 SILVER FOX LANE
City PISGAH FOREST
State NC
ZIP 28768
Accounting period End 12
Primary contact name DANIEL COURTINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL COURTINE
EXECUTIVE DIRECTOR
310 SILVER FOX LANE
PISGAH FOREST NC 28768

Officer/Director/Trustee Two

MATT SHANOR
BOARD MEMBER
139 HAWTHORNE DRIVE
BREVARD NC 28712

Officer/Director/Trustee Three

GLEN LAFEVER
BOARD MEMBER
124 KARLA CIRCLE
HENDERSONVILLE NC 28739

Officer/Director/Trustee Four

CANDICE WALSH
BOARD MEMBER
164 ROCKY RIDGE RD
PISGAH FOREST NC 28768

Officer/Director/Trustee Five

BETHANY RUNDELL
BOARD MEMBER
290 EASTVIEW DRIVE
BREVARD NC 28712

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 Yes
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 DANIEL COURTINE
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/28/19

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