FORM 1023-EZ for JACKSON CENTER CORPORATE CHALLENGECOMMITTEE

Field Data
EIN 81-3138197
Case Number EO-2016222-000233
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JACKSON CENTER CORPORATE CHALLENGECOMMITTEE
Organization’s Mailing Address 21596 BOTKINS RD
City JACKSON CENTER
State OH
ZIP 45334
Accounting period End 6
Primary contact name JANE GARIETY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOE SMITH
PRESIDENT
PO BOX 732
JACKSON CENTER OH 45334

Officer/Director/Trustee Two

JIM GOODING
SECRETARY/TREASURER
PO BOX 753
JACKSON CENTER OH 45334

Officer/Director/Trustee Three

JANE GARIETY
VICE PRESIDENT
21596 BOTKINS RD
JACKSON CENTER OH 45334

Officer/Director/Trustee Four

JUSTIN BURCH
MEMBER
PO BOX 535
JACKSON CENTER OH 45334

Officer/Director/Trustee Five

JAMES DEVINE
MEMBER
PO BOX 699
JACKSON CENTER OH 45334

Organization’s website N/A
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - 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 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 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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