FORM 1023-EZ for JACKSON MICHIGAN GIVING BACK TO THECOMMUNITY

Field Data
EIN 84-1995862
Case Number EO-2019217-000134
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACKSON MICHIGAN GIVING BACK TO THECOMMUNITY
Organization’s Mailing Address 159 WEST LOWRY
City BROOKLYN
State MI
ZIP 49230
Accounting period End 12
Primary contact name BRENDA HUGHES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRENDA HUGHES
PRESIDENT/DIRECTOR
159 WEST LOWRY
BROOKLYN MI 49230

Officer/Director/Trustee Two

BRITTANY MARCIE
TREASURER/DIRECTOR
1118 COOPER ST
JACKSON MI 49202

Officer/Director/Trustee Three

EDWARD CROUT
SECRETARY/DIRECTOR
159 WEST LOWRY
JACKSON MI 49230

Organization’s website
Organization’s email HUGHESBRENDA1971@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/14
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 No
Correctness Declaration Yes
Signature Name BRENDA HUGHES
Signature Title PRESIDENT/DIRECTOR
Signature Date 8/1/19

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