FORM 1023-EZ for JAK KUSTOMS FOUNDATION
| Field | Data |
|---|---|
| EIN | 81-4119838 |
| Case Number | EO-2020268-000481 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | JAK KUSTOMS FOUNDATION |
| Organization’s Mailing Address | 6 LYNN DRIVE |
| City | BEDFORD |
| State | NH |
| ZIP | 03110-6111 |
| Accounting period End | 12 |
| Primary contact name | JEFFREY RILEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JEFFREY RILEY
PRESIDENT
6 LYNN DRIVE
BEDFORD NH 03110-6111
Officer/Director/Trustee Two
ANTHONY PERKINS
DIRECTOR
20 LANSDOWNE STREET
MANCHESTER NH 03103-7073
Officer/Director/Trustee Three
TRAVIS PROVENCHER
VICE PRESIDENT
12 REGINA DRIVE
GOFFSTOWN NH 03045-2338
Officer/Director/Trustee Four
CRYSTAL GEOFFROY
TREASURER
672 HUSE ROAD
MANCHESTER NH 03103-2331
Officer/Director/Trustee Five
JAMES BEHAN JR
OFFICER
3304 MEAD HILL ROAD
NEWMARKET NH 03857-2327
| Organization’s website | |
|---|---|
| Organization’s email | JAKKUSTOMS@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/29/2014 |
| Organization Incorporation State | NH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T30 - Public Foundations |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No 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 | JEFFREY RILEY |
| Signature Title | PRESIDENT |
| Signature Date | 9/22/2020 |
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