FORM 1023-EZ for JDJ ADULT AUTISM RESOURCE CENTER

Field Data
EIN 84-3486699
Case Number EO-2019303-000335
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JDJ ADULT AUTISM RESOURCE CENTER
Organization’s Mailing Address 102 GREAT PINE LN
City POOLER
State GA
ZIP 31322
Accounting period End 12
Primary contact name KIMBERLY JOHNS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY JOHNS
EXECUTIVE DIRECTOR
102 GREAT PINE LN
POOLER GA 31322

Officer/Director/Trustee Two

MICHAEL JOHNS
OFFICER
102 GREAT PINE LN
POOLER GA 31322

Officer/Director/Trustee Three

FELICIA DELACOUDRAY
TREASURER
200 ASH BLVD
HINESVILLE GA 31313

Officer/Director/Trustee Four

GIOVANNA BEANE
DIRECTOR
198 PARKSIDE DR
RICHMOND HILL GA 31324

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KIMBERLY JOHNS
Signature Title EXECUTIVE DIRECTOR
Signature Date 10/28/19

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