FORM 1023-EZ for JUNETEENTH OR

Field Data
EIN 82-1822242
Case Number EO-2017170-000107
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JUNETEENTH OR
Organization’s Mailing Address 1030 NE 24TH
City GRESHAM
State OR
ZIP 97030
Accounting period End 12
Primary contact name JENELLE JACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENELLE JACK
DIRECTOR
1030 NE 24TH
GRESHAM OR 97030

Officer/Director/Trustee Two

JYNNEFER ROBINSON
MEDIA MANAGEMENT
890 NE 25TH
GRESHAM OR 97030

Officer/Director/Trustee Three

MARSHA JACK
SECRETARY
15614 NE ROSE PARKWAY
PORTLAND OR 97230

Organization’s website HTTP://WWW.JUNETHEENTHOR.COM
Organization’s email BTNELLE77@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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
Signature Title
Signature Date

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