FORM 1023-EZ for JUMP AND SCHOUT FOUNDATION

Field Data
EIN 61-1853271
Case Number EO-2019190-000284
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JUMP AND SCHOUT FOUNDATION
Organization’s Mailing Address 500 W CENTRAL AVE SUITE B
City BREA
State CA
ZIP 92821-3036
Accounting period End 12
Primary contact name LEANN SCHOUTEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEANN SCHOUTEN
CEO
372 GLENOAKS STREET
BREA CA 92821

Officer/Director/Trustee Two

RENEE FAULKNER
CFO
14345 SALINE DRIVE
CORONA CA 92880

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support 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 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 LEANN SCHOUTEN
Signature Title CEO
Signature Date 7/5/19

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