FORM 1023-EZ for JEAN JACKSON FOUNDATION

Field Data
EIN 81-1757982
Case Number EO-2016104-000156
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JEAN JACKSON FOUNDATION
Organization’s Mailing Address 9600 ESCARPMENT BLVD- STE 745-222
City AUSTIN
State TX
ZIP 78749
Accounting period End 12
Primary contact name COREY JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

COREY JACKSON
DIRECTOR
PO BOX 92844
AUSTIN TX 78709

Officer/Director/Trustee Two

MELISSA CADY
DIRECTOR
PO BOX 92844
AUSTIN TX 78709

Officer/Director/Trustee Three

ANNE MIXER
DIRECTOR
18345 CORRAL DEL CIELO ROAD
SALINAS CA 93908

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/2016
Organization Incorporation State TX
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: 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 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
Signature Title
Signature Date

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