FORM 1023-EZ for THE JORDAN CROSSING

Field Data
EIN 81-5416429
Case Number EO-2017125-000133
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE JORDAN CROSSING
Organization’s Mailing Address 5683 E STATE HWY AF
City FAIR GROVE
State MO
ZIP 65648
Accounting period End 12
Primary contact name TONY ROBBINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TONY ROBBINS
PRESIDENT
5683 E STATE HIGHWAY AF
FAIR GROVE MO 65648

Officer/Director/Trustee Two

DOROTHY ROBBINS
SECRETARY
5683 E STATE HIGHWAY AF
FAIR GROVE MO 65648

Officer/Director/Trustee Three

RANDALL CLARK
VICE PRESIDENT
5364 E FR 48
FAIR GROVE MO 65648

Officer/Director/Trustee Four

VICKI CLARK
SECRETARY
5364 E FR 48
FAIR GROVE MO 65648

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/2017
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: Yes
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
Signature Title
Signature Date

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