FORM 1023-EZ for TODD JADLOW GIVE IT BACK FOUNDATION

Field Data
EIN 81-1130120
Case Number EO-2016021-000466
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TODD JADLOW GIVE IT BACK FOUNDATION
Organization’s Mailing Address 6326 LAKESIDE LANE
City LAWRENCE
State KS
ZIP 66049-8200
Accounting period End 12
Primary contact name TODD JADLOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TODD JADLOW
OFFICER
6326 LAKESIDE LANE
LAWRENCE KS 66049-8200

Officer/Director/Trustee Two

MIKE TOMPKINS
OFFICER
11936 W 119TH ST
OVERLAND PARK KS 66213-2216

Officer/Director/Trustee Three

JILL DOLLINS
OFFICER
2920 GRAND AVE
KANSAS CITY MO 64108-3222

Officer/Director/Trustee Four

WES SCHLOBOHM
OFFICER
5727 RICHARD CIRCLE
SHAWNEE KS 66216-4613

Officer/Director/Trustee Five

ROB HOLE
OFFICER
9110 W 76TH TERRACE
OVERLAND PARK KS 66204-2327

Organization’s website
Organization’s email GIVEITBACKFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/2016
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - Fund Raising and/or Fund Distribution
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 Yes
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
Signature Title
Signature Date

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