FORM 1023-EZ for JIMMYS PLACE INC

Field Data
EIN 81-2296492
Case Number EO-2016193-000578
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JIMMYS PLACE INC
Organization’s Mailing Address 153 SPRINGS LANE
City IVANHOE
State NC
ZIP 28447
Accounting period End 6
Primary contact name PETER HOLLOWAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETER HOLLOWAY
PRESIDENT
157 SPRINGS LANE
IVANHOE NC 28447

Officer/Director/Trustee Two

RUBY PEAVY
VICE PRESIDENT
1904 CEDAR WALK LANE
CONLEY GA 30288

Officer/Director/Trustee Three

TRICIA MCLAURIN
SECRETARY
4605 CRIMSON ROCK WAY
LAS VEGAS NV 89081

Officer/Director/Trustee Four

KASSEIM FAISON
TRUSTEE
35 MAIN STREET
DARBY PA 19023

Officer/Director/Trustee Five

TIFFANY MATTHEWS
TRUSTEE
145 SPRINGS LANE
IVANHOE NC 28447

Organization’s website
Organization’s email JIMMYSPLACE153@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L99 - Housing, Shelter N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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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