FORM 1023-EZ for AMBASSADORS 4 JACKSON

Field Data
EIN 85-3190437
Case Number EO-2021147-000231
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMBASSADORS 4 JACKSON
Organization’s Mailing Address 3816 N MAIN ST
City JACKSONVILLE
State FL
ZIP 32206
Accounting period End 12
Primary contact name JERMAINE CORLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERMAINE CORLEY
PRESIDENT
6382 RISING S
JACKSONVILLE FL 32218

Officer/Director/Trustee Two

JAMIE JOHNSON
VICE PRESIDENT
2400 CHAFFEE RD S
JACKSONVILLE FL 32221

Officer/Director/Trustee Three

DAVID WEBBE
SECRETARY
4213 VICTORIA LAKES DR W
JACKSONVILLE FL 32226

Officer/Director/Trustee Four

WENDY FOY
TREASURER
7419 EDENFIELD PARK RD
JACKSONVILLE FL 32244

Officer/Director/Trustee Five

MICHAEL TOWNSEND
INCORPORATOR
2051 SALLAS LANE
JACKSONVILLE FL 32233

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: Yes
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 MICHAEL TOWNSEND
Signature Title INCORPORATOR
Signature Date 5/25/2021

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