FORM 1023-EZ for JACOB ROBERTS FOUNDATION INC

Field Data
EIN 81-5176402
Case Number EO-2017122-000187
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JACOB ROBERTS FOUNDATION INC
Organization’s Mailing Address 160 MONMOUTH ST
City TRENTON
State NJ
ZIP 08609
Accounting period End 12
Primary contact name SENCEE BLAMCO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SENCEE BLAMCO
PRESIDENT, DIRECTOR
160 MONMOUTH ST
TRENTON NJ 08609

Officer/Director/Trustee Two

ALBERTHA BOYCE
SECRETARY, DIRECTOR
160 MONMOUTH ST
TRENTON NJ 08609

Officer/Director/Trustee Three

ROLAND ROBERTS
TREASURER, DIRECTOR
160 MONMOUTH ST
TRENTON NJ 08609

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/2017
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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
Signature Title
Signature Date

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