FORM 1023-EZ for SMITH JONES FAMILY FOUNDATION

Field Data
EIN 83-1302989
Case Number EO-2018332-000223
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SMITH JONES FAMILY FOUNDATION
Organization’s Mailing Address PO BOX 1087
City LIMA
State OH
ZIP 45802
Accounting period End 12
Primary contact name LONDELL SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LONDELL SMITH
TRUSTEE
2160 W MARKET
LIMA OH 45805

Officer/Director/Trustee Two

PEYTON SMITH
TRUSTEE
2160 W MARKET
LIMA OH 45805

Officer/Director/Trustee Three

GWEN WARREN
TRUSTEE
3671 HERMOSA DRIVE
DAYTON OH 45416

Officer/Director/Trustee Four

KEVIN JONES
TRUSTEE
1213 W ELM ST
LIMA OH 45805

Officer/Director/Trustee Five

BRYAN MILLER
TRUSTEE
425 EAST PEARL ST
LIMA OH 45801

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 LONDELL SMITH
Signature Title TRUSTEE
Signature Date 11/26/18

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