FORM 1023-EZ for JAXS TRANSITIONAL HOMES INC

Field Data
EIN 82-0806034
Case Number EO-2017131-000345
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JAXS TRANSITIONAL HOMES INC
Organization’s Mailing Address 14700 N FRANK LLOYD WRIGHT BLVD 345
City SCOTTSDALE
State AZ
ZIP 85260
Accounting period End 12
Primary contact name MELODY LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACQUELYN VALRIE
PRESIDENT
PO BOX 2812
CHANDLER AZ 85244

Officer/Director/Trustee Two

MARCELLO BYRD
VICE PRESIDENT
2520 SOUTH PLAZA DRIVE
TEMPE AZ 85282

Officer/Director/Trustee Three

TEGA BYRD
SECRETARY
2520 SOUTH PLAZA DRIVE
TEMPE AZ 85282

Officer/Director/Trustee Four

ASHLEE BYRD
TREASURER
2520 SOUTH PLAZA DRIVE
TEMPE AZ 85282

Organization’s website
Organization’s email JAXSHOUSE1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2017
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 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 Yes
One Third Support Gifts No
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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