FORM 1023-EZ for JASON L AND ANA C STEPHENS FAMILY FOUNDATION

Field Data
EIN 83-2621149
Case Number EO-2018333-000205
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JASON L AND ANA C STEPHENS FAMILY FOUNDATION
Organization’s Mailing Address PO BOX 620214
City MIDDLETON
State WI
ZIP 53562
Accounting period End 12
Primary contact name JASON L STEPHENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON STEPHENS
TRUSTEE
PO BOX 620214
MIDDLETON WI 53562

Officer/Director/Trustee Two

ANA STEPHENS
TRUSTEE
PO BOX 620214
MIDDLETON WI 53562

Organization’s website N/A
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JASON STEPHENS
Signature Title TRUSTEE
Signature Date 11/27/18

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