FORM 1023-EZ for JUSTICE ACCOUNTABILITY & VICTIM ADVOCACY INC DBA JAVA

Field Data
EIN 84-2853796
Case Number EO-2020051-000297
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JUSTICE ACCOUNTABILITY & VICTIM ADVOCACY INC DBA JAVA
Organization’s Mailing Address 813 SNAPDRAGON CV
City FORT WAYNE
State IN
ZIP 46816
Accounting period End 12
Primary contact name AMY DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY DAVIS
FOUNDER/TREASURER
813 SNAPDRAGON COVE
FORT WAYNE IN 46816

Officer/Director/Trustee Two

STACEY DAVIS
FOUNDER/SECRETARY
343 PENN AVE
FORT WAYNE IN 46805

Officer/Director/Trustee Three

THERESA JUILLERAT
DIRECTOR
1208 GLENWOOD DR
FORT WAYNE IN 46805

Officer/Director/Trustee Four

NICOLE GAUNT
DIRECTOR
2417 SWEET CIDER RD
FORT WAYNE IN 46818

Officer/Director/Trustee Five

DONNA HACKMAN
DIRECTOR
3826 METER DR
FORT WAYNE IN 46806

Organization’s website WWW.JAVAFW.ORG
Organization’s email CONTACT@JAVAFW.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/2019
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 Yes
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 AMY DAVIS
Signature Title FOUNDER/TREASURER
Signature Date 2/18/2020

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