FORM 1023-EZ for JERRYS PLACE RECOVERY INC

Field Data
EIN 85-0825762
Case Number EO-2020120-000264
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JERRYS PLACE RECOVERY INC
Organization’s Mailing Address 1001 EAST 8TH STREET
City JEFFERSONVILLE
State IN
ZIP 47130
Accounting period End 12
Primary contact name GARY BANET
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH STARCK
PRESIDENT
512 EAST MAPLE STREET
JEFFERSONVILLE IN 47130

Officer/Director/Trustee Two

GARY BANET
DIRECTOR
318 PEARL ST SUITE 200
NEW ALBANY IN 47150

Officer/Director/Trustee Three

RICHARD WESTMORELAND
EXECUTIVE DIRECTOR
6404 ARGONNE BLVD
NEW ORLEANS LA 70124

Officer/Director/Trustee Four

ROBERT WOLFORD
MANAGING DIRECTOR
1001 EAST 8TH STREET
JEFFERSONVILLE IN 47130

Officer/Director/Trustee Five

VICKI O BANNON
DIRECTOR
2200 1/4 UTICA PIKE
JEFFERSONVILLE IN 47130

Organization’s website
Organization’s email WESTMORELANDRL@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/2019
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 Yes
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 GARY BANET
Signature Title DIRECTOR
Signature Date 4/27/2020

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