FORM 1023-EZ for AJUMPSTART FOUNDATION

Field Data
EIN 46-4885760
Case Number EO-2014297-000580
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AJUMPSTART FOUNDATION
Organization’s Mailing Address 144/146 DIDDELL ROAD
City WAPPINGERS FALLS
State NY
ZIP 12590
Accounting period End 12
Primary contact name ZACHARY GENNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LAWRENCE PARISEAU
DIRECTOR / EXECUTIVE DIRECTOR
146 DIDDELL ROAD
WAPPINGERS FALLS NY 12590

Officer/Director/Trustee Two

KIM DUNN
DIRECTOR / VICE PRESIDENT/TREASURER
146 DIDDELL ROAD
Wappingers Falls NY 12590

Officer/Director/Trustee Three

ANDREA MONROE
DIRECTOR / SECRETARY
1143 OLD ALBANY POST ROAD
GARRISON NY 10524

Officer/Director/Trustee Four

SUSAN LOLLI
DIRECTOR
28 CIRCLE DRIVE
HOPEWELL JUNCTION NY 12533

Organization’s website AJUMPSTART.ORG/
Organization’s email INFO@AJUMPSTART.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/2014
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O52 - Youth Development - Agricultural
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
Signature Title
Signature Date

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