FORM 1023-EZ for JUSTIN GREEN MEMORIAL SCHOLARSHIP FUND INC

Field Data
EIN 83-4435392
Case Number EO-2019112-000776
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JUSTIN GREEN MEMORIAL SCHOLARSHIP FUND INC
Organization’s Mailing Address 17911 SW 92ND COURT
City PALMETTO BAY
State FL
ZIP 33157
Accounting period End 12
Primary contact name RAFAEL JADOO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AARON METZ
DIRECTOR
5870 SW 59TH STREET
MIAMI FL 33143

Officer/Director/Trustee Two

RODRICK PARKER
DIRECTOR
8050 SW 72ND AVE APT 2713
MIAMI FL 33143

Officer/Director/Trustee Three

RICARDO HALL
DIRECTOR
4080 HUNTER COURT
EASTON PA 18045

Officer/Director/Trustee Four

DANIEL JASON GREEN
DIRECTOR
17911 SW 92ND COURT
PALMETTO BAY FL 33157

Officer/Director/Trustee Five

RAFAEL JADOO
DIRECTOR
4718 SW 67TH AVE UNIT B4
MIAMI FL 33155

Organization’s website HTTP://JUSTINGREENMEMORIALFUND.ORG/
Organization’s email RMJADOO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RAFAEL JADOO
Signature Title DIRECTOR
Signature Date 4/20/19

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