FORM 1023-EZ for JACKSONVILLE TRANSGENDER ACTION COMMITTEE INC

Field Data
EIN 81-2657494
Case Number EO-2017242-000273
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JACKSONVILLE TRANSGENDER ACTION COMMITTEE INC
Organization’s Mailing Address PO BOX 40162
City JACKSONVILLE
State FL
ZIP 32203-0162
Accounting period End 12
Primary contact name EDEN SHURMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY POPE
DIRECTOR
1189 OAKVALE RD
SAINT JOHNS FL 32259-2823

Officer/Director/Trustee Two

JUSTIN SHURMAN
DIRECTOR
2156 GILMORE ST
JACKSONVILLE FL 32204-3212

Officer/Director/Trustee Three

AMANDA NELSON
DIRECTOR
3946 MUIRFIELD BLVD E
JACKSONVILLE FL 32225-5714

Organization’s website
Organization’s email JAXTRANSACTION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/24/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R20 - Civil Rights, Advocacy for Specific Groups
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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