FORM 1023-EZ for JORDAN PARKER FOUNDATION

Field Data
EIN 47-5343160
Case Number EO-2015294-000171
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JORDAN PARKER FOUNDATION
Organization’s Mailing Address 9926 APPLETON
City REDFORD
State MI
ZIP 48239
Accounting period End 12
Primary contact name JEANETTE BURRELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEANETTE BURRELL
BOARD CHAIR/PRESIDENT
9926 APPLETON
REDFORD MI 48239

Officer/Director/Trustee Two

LATIA REED
VICE CHAIR/VICE PRESIDENT
25115 ANDOVER DR
DEARBORN HEIGHTS MI 48127

Officer/Director/Trustee Three

LAPRISHA BERRY-VAUGHN
BOARD MEMBER
18074 WARRINGTON
DETROIT MI 48221

Officer/Director/Trustee Four

DEMETRIUS LANE
TREASURER
8817 THIRD
DETROIT MI 48202

Officer/Director/Trustee Five

VALERIE KANTNER
SECRETARY
27050 MEADOWBROOK
REDFORD MI 48239

Organization’s website WWW.JORDANPARKER.ORG
Organization’s email INFO@JORDANPARKER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/2015
Organization Incorporation State MI
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: 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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