FORM 1023-EZ for JUMP START YOUTH FOUNDATION

Field Data
EIN 83-1926492
Case Number EO-2018297-000190
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JUMP START YOUTH FOUNDATION
Organization’s Mailing Address 109 EAST MAIN STREET
City UNION
State SC
ZIP 29379
Accounting period End 12
Primary contact name ANITA BEASLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONNIE WORTHY
PRESIDENT/TREASURER
109 EAST MAIN STREET
UNION SC 29379

Officer/Director/Trustee Two

CHARLITTA CARBEAM
SECRETARY
139 RAINTREE DRIVE
SPARTANBURG SC 29301

Officer/Director/Trustee Three

THOMAS CORNWELL
MEMBER
3254 RICKS ROAD
CHESTER SC 29706

Officer/Director/Trustee Four

JAMES O HARRIS
MEMBER
P O BOX 159
RICHBURG SC 29729

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/18
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DONNIE WORTHY
Signature Title PRESIDENT/TREASURER
Signature Date 10/22/18

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