FORM 1023-EZ for JAH RISE INC

Field Data
EIN 83-1509049
Case Number EO-2019217-000163
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JAH RISE INC
Organization’s Mailing Address 8540 NW 6TH LANE UNIT 106
City MIAMI
State FL
ZIP 33126
Accounting period End 12
Primary contact name WAYNE DAWKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WAYNE DAWKINS
PRESIDENT
8540 NW 6TH LANE UNIT 106
MIAMI FL 33126

Officer/Director/Trustee Two

ANDREA FLETCHER DAWKINS
VICE PRESIDENT
8540 NW 6TH LANE UNIT 106
MIAMI FL 33126

Officer/Director/Trustee Three

NATALIA ROMERO
SECRETARY
30 NW 87TH AVE APT C224
MIAMI FL 33172

Officer/Director/Trustee Four

RANDOLL SANTANDER
TREASURER
810 SW 105TH AVE UNIT 503
MIAMI FL 33174

Officer/Director/Trustee Five

LENA CHANNER
BOARD MEMBER
2509 TOWEIGHTE COURT APT 9
WINSTON SALEM NC 27106

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 WAYNE DAWKINS
Signature Title PRESIDENT
Signature Date 8/1/19

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