FORM 1023-EZ for YOURE NOT ALONE JONATHAN WAGNER BENZODIAZEPINE AWARENESS FOUNDATION

Field Data
EIN 83-0666157
Case Number EO-2018155-000365
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YOURE NOT ALONE JONATHAN WAGNER BENZODIAZEPINE AWARENESS FOUNDATION
Organization’s Mailing Address 9322-96TH PLACE
City ST JOHN
State IN
ZIP 46373
Accounting period End 12
Primary contact name DEBBIE WAGNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBBIE WAGNER
PRESIDENT
9322-96TH PLACE
ST. JOHN IN 46373

Officer/Director/Trustee Two

JASON WAGNER
VICE PRESIDENT
9322-96TH PLACE
ST. JOHN IN 46373

Officer/Director/Trustee Three

TOM WAGNER
SECRETARY
9322-96TH PLACE
ST. JOHN IN 46373

Organization’s website
Organization’s email TDBLAZE1@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 DEBBIE WAGNER
Signature Title PRESIDENT
Signature Date 6/1/18

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