FORM 1023-EZ for JALEN NATION

Field Data
EIN 47-5316785
Case Number EO-2016123-000368
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JALEN NATION
Organization’s Mailing Address 775 UP CREEK ROAD
City COVE CITY
State NC
ZIP 28523
Accounting period End 12
Primary contact name EVAN LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBORAH HARGETT
PRESIDENT
775 UP CREEK ROAD
COVE CITY NC 28523

Officer/Director/Trustee Two

BEVERLY HINES
TREASURER
PO BOX 88
TRENTON NC 28585

Officer/Director/Trustee Three

TAMARA JONES
VICE PRESIDENT
4171 ACADEMIC DRIVE APT E
NEW BERN NC 28562

Officer/Director/Trustee Four

CHARMAINE BOND
SECRETARY
2600 CAMILLE DRIVE
WINTERVILLE NC 28590

Officer/Director/Trustee Five

LOREAN WILSON
BOARD MEMBER
775 UP CREEK ROAD
COVE CITY NC 28523

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: No
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 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
Signature Title
Signature Date

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