FORM 1023-EZ for J MERRILL FOUNDATION INC

Field Data
EIN 86-3677344
Case Number EO-2021127-000164
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name J MERRILL FOUNDATION INC
Organization’s Mailing Address 434 HILLPINE DR
City COLUMBUS
State OH
ZIP 43207
Accounting period End 12
Primary contact name JACKIE M SMITH JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACKIE SMITH JR
PRESIDENT
434 HILLPINE DR
COLUMBUS OH 43207

Officer/Director/Trustee Two

MARLA SMITH
VICE PRESIDENT
434 HILLPINE DR
COLUMBUS OH 43207

Officer/Director/Trustee Three

SHARON CLEMENS
SECRETARY
246 CLOVERHILL DR
GALLOWAY OH 43119

Officer/Director/Trustee Four

CYNTHIA SLOAN
TRUSTEE
1711 PINE STREET
COLUMBUS OH 43217

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/2021
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A33 - Printing, Publishing
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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 JACKIE SMITH JR
Signature Title PRESIDENT
Signature Date 5/5/2021

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