FORM 1023-EZ for JXN HARM REDUCTION INC

Field Data
EIN 84-1839872
Case Number EO-2019182-000269
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JXN HARM REDUCTION INC
Organization’s Mailing Address 414 S BLACKSTONE ST
City JACKSON
State MI
ZIP 49201
Accounting period End 12
Primary contact name ERIN DEPREKEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GRAHAM BECHERER-BAILEY
PRESIDENT
3337 SEYMOUR RD
JACKSON MI 49201

Officer/Director/Trustee Two

ERIN DEPREKEL
TREASURER
231 DEPUY AVE APT 6
JACKSON MI 49203

Officer/Director/Trustee Three

TRACY PAYNE
SECRETARY
2512 MCCAIN RD
JACKSON MI 49203

Officer/Director/Trustee Four

CARROLL-ANNE HEINS
VICE PRESIDENT
3337 SEYMOUR RD
JACKSON MI 49201

Officer/Director/Trustee Five

LAURA STEPHENS
DIRECTOR
414 S BLACKSTONE ST
JACKSON MI 49201

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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 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 ERIN DEPREKEL
Signature Title TREASURER
Signature Date 6/26/19

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