FORM 1023-EZ for DEREK JAHN BEAT SARCOMA FOUNDATION
| Field | Data |
|---|---|
| EIN | 47-4386385 |
| Case Number | EO-2015182-000175 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | DEREK JAHN BEAT SARCOMA FOUNDATION |
| Organization’s Mailing Address | PO BOX 2463 |
| City | WESTERVILLE |
| State | OH |
| ZIP | 43086 |
| Accounting period End | 12 |
| Primary contact name | VICTOR J FERGUSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
KAITLIN JAHN
DIRECTOR AND PRESIDENT
250 BRODBELT LANE
COLUMBUS OH 43215-2446
Officer/Director/Trustee Two
KELLY JAHN
DIRECTOR AND SECRETARY
8455 FALLGOLD LANE
WESTERVILLE OH 43082
Officer/Director/Trustee Three
JEFFREY JAHN
DIRECTOR AND TREASURER
8455 FALLGOLD LANE
WESTERVILLE OH 43082
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/4/2015 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | H30 - Cancer Research |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes 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 | 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 | |
| Signature Title | |
| Signature Date |
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