FORM 1023-EZ for JETPACK23 FOUNDATION INC

Field Data
EIN 81-1796694
Case Number EO-2017033-000234
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JETPACK23 FOUNDATION INC
Organization’s Mailing Address 1110 S VISTA AVE STE 27
City BOISE
State ID
ZIP 83705
Accounting period End 12
Primary contact name WAYNE BARNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENT JENSEN JR
EXECUTIVE DIRECTOR
1794 S ANNETT STREET APT 101
BOISE ID 83705

Officer/Director/Trustee Two

WAYNE BARNEY
DIRECTOR
1310 S VISTA AVE STE 27
BOISE ID 83705

Officer/Director/Trustee Three

RYAN LOMBARDI
DIRECTOR
996 E WINDING CREEK
EAGLE ID 83616

Organization’s website
Organization’s email BCBSINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2015
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - 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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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