FORM 1023-EZ for THE JARED BURKE FOUNDATION

Field Data
EIN 46-5497911
Case Number EO-2015098-000248
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE JARED BURKE FOUNDATION
Organization’s Mailing Address 428 EAST JACKSON ROAD
City ST. LOUIS
State MO
ZIP 63119-4128
Accounting period End 12
Primary contact name CHRISTOPHER BURKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN BURKE
PRESIDENT
915 CARLYLE ROAD
BARTELSO IL 62218-0034

Officer/Director/Trustee Two

CHRISTOPHER BURKE
VICE PRESIDENT
428 EAST JACKSON ROAD
ST. LOUIS MO 63119-4128

Officer/Director/Trustee Three

SHANNON BURKE
SECRETARY
771 EAST 1ST STREET
BECKEMEYER IL 62219-0033

Officer/Director/Trustee Four

KRISTY ATWATER
TREASURER
606 WEST STATE ROUTE 161
ALBERS IL 62215

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/2014
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
Amateur Sports: Yes
Cruelty Prevention: Yes
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 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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