FORM 1023-EZ for JUSTUS4JAYLON

Field Data
EIN 81-2184270
Case Number EO-2019123-000232
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JUSTUS4JAYLON
Organization’s Mailing Address 8080 BECKETT CENTER DRIVE SUITE 123
City WEST CHESTER
State OH
ZIP 45069
Accounting period End 12
Primary contact name SERINA KNIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SERINA KNIGHT
PRESIDENT
7760 SHADOW CREEK DR 618
HAMILTON OH 45011

Officer/Director/Trustee Two

MARY LYONS
VICE PRESIDENT
5929 HERITAGE KNOLL
FAIRFIELD OH 45014

Officer/Director/Trustee Three

DOROTHY MANN
TREASURER
4032 SUPERIOR AVE
CINCINNATI OH 45236

Officer/Director/Trustee Four

KEVIN HILL
SECRETARY
3330 PLEASANT VIEW DR
HAMILTON OH 45011

Organization’s website
Organization’s email JUSTUS4JAYLON1838@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/16
Organization Incorporation State OH
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: 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 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 SERINA KNIGHT
Signature Title PRESIDENT
Signature Date 5/1/19

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