FORM 1023-EZ for THE JARVIS GIBSON FOUNDATION

Field Data
EIN 81-1147518
Case Number EO-2016102-000316
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE JARVIS GIBSON FOUNDATION
Organization’s Mailing Address PO BOX 6673
City CLEVELAND
State OH
ZIP 44101
Accounting period End 3
Primary contact name JARVIS GIBSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JARVIS GIBSON
PRESIDENT
1911 E 73RD STREET
CLEVELAND OH 44103

Officer/Director/Trustee Two

MONTELLE SANDERS
VICE PRESIDENT
ONE JETS DRIVE
FLORHAM PARK NJ 07932

Officer/Director/Trustee Three

RANA BROWN
TREASURER
3443 GREEN ROAD APT 2B
BEACHWOOD OH 44122

Officer/Director/Trustee Four

GAIL BUTLER-HINTON
NA
6651 HEDGLINE DR
BEDFORD OH 44146

Officer/Director/Trustee Five

WILLIE AVERYHART
NA
26443 MORNING GLORY LANE
OAKWOOD VILLAG OH 44146

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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
Signature Title
Signature Date

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