FORM 1023-EZ for ROSS WHITNEY JACOBS FOUNDATION

Field Data
EIN 83-0712698
Case Number EO-2019038-000915
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROSS WHITNEY JACOBS FOUNDATION
Organization’s Mailing Address 3183 EIRE DRIVE
City ORCHARD LAKE
State MI
ZIP 48324
Accounting period End 5
Primary contact name NANCY JACOBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NANCY JACOBS
DIRECTOR
3183 EIRE DRIVE
ORCHARD LAKE MI 48324

Officer/Director/Trustee Two

LAWRENCE JACOBS
DIRECTOR
3183 EIRE DRIVE
ORCHARD LAKE MI 48324

Officer/Director/Trustee Three

SPENCER JACOBS
DIRECTOR
591 BOW LANE
WATERFORD MI 48328

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - Fund Raising and/or Fund Distribution
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 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 NANCY JACOBS
Signature Title DIRECTOR
Signature Date 1/25/19

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