FORM 1023-EZ for JEFFERSON COUNTY HOMESCHOOL ASSOCIATION INC

Field Data
EIN 85-2806603
Case Number EO-2020253-000174
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JEFFERSON COUNTY HOMESCHOOL ASSOCIATION INC
Organization’s Mailing Address 675 S WAUKEENAH ST
City MONTICELLO
State FL
ZIP 32344
Accounting period End 8
Primary contact name TAMMY BROOKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMMY BROOKINS
PRESIDENT
675 S WAUKEENAH ST
MONTICELLO FL 32344

Officer/Director/Trustee Two

HEATHER BOYD
VICE PRESIDENT
12617 ASHVILLE HWY
MONTICELLO FL 32344

Officer/Director/Trustee Three

JENNIFER BROWN
SECRETARY
473 GREAT OAKS BLVD
MONTICELLO FL 32344

Officer/Director/Trustee Four

CARLY PEARY
TREASURER
104 KIMS LN
LAMONT FL 32336

Organization’s website
Organization’s email JEFFERSONHOMESCHOOL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 Yes
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 Yes
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 TAMMY BROOKINS
Signature Title PRESIDENT
Signature Date 9/7/2020

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