FORM 1023-EZ for THE JAYNE CASSELLA FOUNDATION INC

Field Data
EIN 86-1678100
Case Number EO-2021097-001023
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE JAYNE CASSELLA FOUNDATION INC
Organization’s Mailing Address 103 RIDGEMOOR TRACE
City CANTON
State GA
ZIP 30115
Accounting period End 12
Primary contact name JAMES CASSELLA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES CASSELLA
DIRECTOR
103 RIDGEMOOR TRACE
CANTON GA 30115

Officer/Director/Trustee Two

KERRY BROWNLOWE
DIRECTOR
121 GRANDMAR CHASE
CANTON GA 30115

Officer/Director/Trustee Three

JAMES BROWNLOWE
DIRECTOR
121 GRANDMAR CHASE
CANTON GA 30115

Officer/Director/Trustee Four

ROXANNE JOHNSON
DIRECTOR
12505 SHETLAND LANE
BOWIE MD 27015

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMES CASSELLA
Signature Title DIRECTOR
Signature Date 3/15/2021

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