FORM 1023-EZ for JAMBOREE INCORPORATED

Field Data
EIN 81-4456908
Case Number EO-2017009-000573
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JAMBOREE INCORPORATED
Organization’s Mailing Address 1700 WEST WATER STREET
City MONTPELIER
State IN
ZIP 47359
Accounting period End 12
Primary contact name DAVID HARRIETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON MCPHERSON
PRESIDENT
1700 WEST WATER STREET
HARTFORD CITY IN 47348

Officer/Director/Trustee Two

DAVID HARRIETT
VICE PRESIDENT
537 WEST HIGH STREET
MONTPELIER IN 47359

Officer/Director/Trustee Three

ANGELA HARRIETT
SECRETARY
537 WEST HIGH STREET
MONTEPELIER IN 47359

Officer/Director/Trustee Four

MARIA THIERY
TREASURE
537 WEST HIGH STREET
MONTPELIER IN 47359

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2017
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N52 - Fairs, County and Other
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
Signature Title
Signature Date

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