FORM 1023-EZ for JUSTICE INTERVENTION INITIATIVE

Field Data
EIN 86-3172445
Case Number EO-2021263-000779
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JUSTICE INTERVENTION INITIATIVE
Organization’s Mailing Address 610 STANDING SPRINGS RD
City GREENVILLE
State SC
ZIP 29605
Accounting period End 12
Primary contact name PAUL GUY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL GUY
PRESIDENT-EXEC DIRECTOR
610 STANDING SPRINGS RD
GREENVILLE SC 29605

Officer/Director/Trustee Two

SAMARRIA TAYLOR
TREASURER-SECRETARY
2 SHENANDOAH DR
TAYLORS SC 29615

Officer/Director/Trustee Three

DONALD SMITH
CHAIRPERSON
1222 BOILING SPRINGS RD
GREER SC 29650

Officer/Director/Trustee Four

STEPHANIE BROWN
TRUSTEE
441 TIMBERVIEW LN
SIMPSONVILLE SC 29681

Officer/Director/Trustee Five

CARMEN GOMES
TRUSTEE
715 N MAIN ST
GREENVILLE SC 29609

Organization’s website WWW.JUSTICEINTERVENTION.ORG (PENDING)
Organization’s email JIIPG357@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2021
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R99 - Civil Rights, Social Action, Advocacy 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 Yes
Compensation of Officer director trustee No
Donation of funds Yes
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 PAUL GUY
Signature Title PRESIDENT-EXEC DIRECTOR
Signature Date 9/18/2021

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