FORM 1023-EZ for JACKS HOUSE INC

Field Data
EIN 47-2675662
Case Number EO-2020261-000230
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACKS HOUSE INC
Organization’s Mailing Address 10509 MUSTANG WELLS DR
City BENBROOK
State TX
ZIP 76126-6461
Accounting period End 12
Primary contact name MARILYN WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM JACKSON
DIRECTOR
10509 MUSTANG WELLS DR
BENBROOK TX 76126-6461

Officer/Director/Trustee Two

MIRIAM RISHNER
DIRECTOR
3762 SYDNEY ST
FT WORTH TX 76119-2959

Officer/Director/Trustee Three

PENELOPE JACKSON
DIRECTOR
10509 MUSTANG DR
BENBROOK TX 76126-6461

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WILLIAM JACKSON
Signature Title DIRECTOR
Signature Date 9/15/2020

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