FORM 1023-EZ for JESSIS JOURNEY FOUNDATION INC

Field Data
EIN 84-3782909
Case Number EO-2020134-000256
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JESSIS JOURNEY FOUNDATION INC
Organization’s Mailing Address 11883 BECKENHAM ROAD
City NORTH ROYALTON
State OH
ZIP 44133
Accounting period End 12
Primary contact name MICHAEL HOUSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH KOSSIN
DIRECTOR
11883 BECKENHAM ROAD
NORTH ROYALTON OH 44133

Officer/Director/Trustee Two

REBECCA KOSSIN
DIRECTOR
11883 BECKENHAM ROAD
NORTH ROYALTON OH 44133

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/2019
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 Yes
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 KENNETH KOSSIN
Signature Title DIRECTOR
Signature Date 5/11/2020

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