FORM 1023-EZ for IDJ FOUNDATION GRIEVING AND SUPPORTSERVICES

Field Data
EIN 27-3759076
Case Number EO-2016208-000366
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IDJ FOUNDATION GRIEVING AND SUPPORTSERVICES
Organization’s Mailing Address 297 BERNAL ROAD
City SAN JOSE
State CA
ZIP 95119
Accounting period End 12
Primary contact name AUTRY JAMISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARTHUR JAMISON
BOARD PRESIDENT
297 BERNAL ROAD
SAN JOSE CA 95119

Officer/Director/Trustee Two

MOTOKO KATAYAMA
BOARD TREASURER
1568 VISTA CLUB CIRCLE 107
SANTA CLARA CA 95054

Officer/Director/Trustee Three

WILLIAM WHEAT
SECRETARY
501 WEST HACIENDA AVE D20
CAMPBELL CA 95008

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2010
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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