FORM 1023-EZ for JAM AGAINST CANCER FOUNDATION

Field Data
EIN 83-1971499
Case Number EO-2018267-000473
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JAM AGAINST CANCER FOUNDATION
Organization’s Mailing Address 229 N HOLIDAY AVE
City SIOUX FALLS
State SD
ZIP 57103
Accounting period End 12
Primary contact name KAY JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAY JOHNSON
OFFICER
229 N HOLIDAY
SIOUX FALLS SD 57103

Officer/Director/Trustee Two

MICHELLE ZINNELL
SECRETARY
4401 S SOLBERG AVE APT 6
SIOUX FALLS SD 57106

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/17
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G19 - Nonmonetary Support N.E.C.
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 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 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 KAY JOHNSON
Signature Title OFFICER
Signature Date 9/22/18

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