FORM 1023-EZ for JAKES PLACE

Field Data
EIN 84-6645703
Case Number EO-2019338-000242
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JAKES PLACE
Organization’s Mailing Address 5157 ROYAL INDIGO STREET
City LAS VEGAS
State NV
ZIP 89130-2104
Accounting period End 12
Primary contact name RICHARD E MITCHEN CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACKIE L STEWART
TRUSTEE
6208 LAUREN ASHTON AVENUE
LAS VEGAS NV 89131-3801

Officer/Director/Trustee Two

JUDY E STALLINGS
TRUSTEE
5157 ROYAL INDIGO STREET
LAS VEGAS NV 89130-2104

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2019
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: Yes
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 JUDY E STALLINGS
Signature Title TRUSTEE
Signature Date 12/2/2019

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