FORM 1023-EZ for JAXENS JOURNEY INC

Field Data
EIN 81-4867928
Case Number EO-2017018-000374
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JAXENS JOURNEY INC
Organization’s Mailing Address 417 FOXCHASE WAY
City MORGANTOWN
State WV
ZIP 26508-1614
Accounting period End 12
Primary contact name JEREMY BRAGG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBRALY KETTLER
PRESIDENT, TREASURER, DIRECTOR
417 FOXCHASE WAY
MORGANTOWN WV 26508-1614

Officer/Director/Trustee Two

ANDREW KETTLER
SECRETARY, DIRECTOR
417 FOXCHASE WAY
MORGANTOWN WV 26508-1614

Officer/Director/Trustee Three

MARK SNIDER
DIRECTOR
521 QUAIL LANDING WAY
MORGANTOWN WV 26508-1614

Officer/Director/Trustee Four

KARI LAW
DIRECTOR
525 QUAIL LANDING WAY
MORGANTOWN WV 26508-1614

Officer/Director/Trustee Five

MICHAEL VEITH
DIRECTOR
7226 CONCORDRIDGE DRIVE
CINCINNATI OH 45244-3641

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/5/2017
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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
Signature Title
Signature Date

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