FORM 1023-EZ for MOTHER RUBY DELL JEFFERSON FOUNDATION

Field Data
EIN 84-3259443
Case Number EO-2019312-000029
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOTHER RUBY DELL JEFFERSON FOUNDATION
Organization’s Mailing Address 7296 NICHOLAS LANE
City MEMPHIS
State TN
ZIP 38125
Accounting period End 12
Primary contact name GARY JEFFERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GWENDOLYN REEVES
PUBLIC RELATIONS DIRECTOR
PO BOX 694
SPARTA GA 31087

Officer/Director/Trustee Two

YOHANCE BROWN
BOARD OF DIRECTORS
19740 NW 9TH
MIAMI FL 33029

Officer/Director/Trustee Three

JIMMY REEVESJR
BOARD OF DIRECTORS
PO BOX 694
SPARTA GA 31087

Officer/Director/Trustee Four

BRADY JEFFERSON
BOARD OF DIRECTORS
260 JAMES GROVE CHURCH RD
WRIGHTSVILLE GA 31096

Officer/Director/Trustee Five

GARY JEFFERSON
CEO
7296 NICHOLAS
MEMPHIS TN 38125

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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 GARY JEFFERSON
Signature Title CEO
Signature Date 11/6/19

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