FORM 1023-EZ for THE JUGGERNAUT INITIATIVE

Field Data
EIN 82-3801859
Case Number EO-2019114-000447
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE JUGGERNAUT INITIATIVE
Organization’s Mailing Address 3265 S SHORE DR SE APT 1
City ALBANY
State OR
ZIP 97322
Accounting period End 12
Primary contact name ASHLEE ALEXIS LINDSEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ASHLEE LINDSEY
SECRETARY
3265 S SHORE DR SE APT 1
ALBANY OR 97322

Officer/Director/Trustee Two

TIMOTHY COMER
PRESIDENT
3265 S SHORE DR SE APT 1
ALBANY OR 97322

Officer/Director/Trustee Three

ERIC OVERHOLSER
VICE PRESIDENT
3265 S SHORE DR SE APT1
ALBANY OR 97322

Organization’s website THEJUGGERNAUTINITIATIVE.ORG
Organization’s email THEJUGGERNAUTINITIATIVE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/17
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
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 Yes
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 TIMOTHY COMER
Signature Title PRESIDENT
Signature Date 4/22/19

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