FORM 1023-EZ for JANICE MICHAELS FOUNDATION INC

Field Data
EIN 47-4640324
Case Number EO-2015233-000099
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JANICE MICHAELS FOUNDATION INC
Organization’s Mailing Address 109 KASBERG DRIVE
City TEMPLE
State TX
ZIP 76502
Accounting period End 12
Primary contact name MICHAEL BAREFOOT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL BAREFOOT
PRESIDENT/DIRECTOR
109 KASBERG DRIVE
TEMPLE TX 76502-6340

Officer/Director/Trustee Two

DEBRA HARRIS
DIRECTOR
10206 SAGE CLUB DRIVE
HOUSTON TX 77085

Officer/Director/Trustee Three

ALAN KING
DIRECTOR
547 WILLIAM B FITCH
COLLEGE STATION TX 77845

Organization’s website
Organization’s email MICHAEL@MYJMHC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2015
Organization Incorporation State TX
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: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
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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