FORM 1023-EZ for ATATIANA TAY JEFFERSON FOUNDATION

Field Data
EIN 84-3405072
Case Number EO-2020196-000464
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ATATIANA TAY JEFFERSON FOUNDATION
Organization’s Mailing Address 5945 FOX HILL LN
City DALLAS
State TX
ZIP 75232
Accounting period End 12
Primary contact name LAPACA JEFFERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAPACA JEFFERSON
DIRECTOR
5945 FOX HILL LN
DALLAS TX 75232

Officer/Director/Trustee Two

DONNA JACKSON
DIRECTOR
5945 FOX HILL LN
DALLAS TX 75232

Officer/Director/Trustee Three

DARLA MCRITTENDON
TREASURER
5945 FOX HILL LN
DALLAS TX 75232

Organization’s website HTTPS://ATJEFFERSON.FOUNDATION
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2019
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 LAPACA JEFFERSON
Signature Title DIRECTOR
Signature Date 6/12/2020

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