FORM 1023-EZ for JAY-BOI PRODUCTION AND YOUTH DEVELOPMENT

Field Data
EIN 83-1991403
Case Number EO-2018269-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JAY-BOI PRODUCTION AND YOUTH DEVELOPMENT
Organization’s Mailing Address 4909 N 42ND ST
City OMAHA
State NE
ZIP 68111
Accounting period End 9
Primary contact name JEWEL RODGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAYLAN ROBINSON
EXECUTIVE DIRECTOR
3428 MANDERSON ST
OMAHA NE 68111

Officer/Director/Trustee Two

JEWEL RODGERS
TRUSTREE
2011 WIRT ST
OMAHA NE 68110

Officer/Director/Trustee Three

LORETTA ROBINSON
CHAIRPERSON
3428 MANDERSON ST
OMAHA NE 68111

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/18
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 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 JAYLAN ROBINSON
Signature Title EXECUTIVE DIRECTOR
Signature Date 9/24/18

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