FORM 1023-EZ for CARL JACKSON FOUNDATION

Field Data
EIN 27-0298513
Case Number EO-2015173-000059
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARL JACKSON FOUNDATION
Organization’s Mailing Address PO BOX 72173
City DURHAM
State NC
ZIP 27722
Accounting period End 12
Primary contact name JIMMY WRIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CARL JACKSON
CEO
1309 N HUGHES ST
LITTLE ROCK AR 72207

Officer/Director/Trustee Two

JIMMY WRIGHT
PRESIDENT
13 STARWOOD LANE
DURHAM NC 27712

Officer/Director/Trustee Three

DEIDRE WRIGHT
SECRETARY
13 STARWOOD LANE
DURHAM NC 27712

Officer/Director/Trustee Four

CARLISA JACKSON
TREASURY
1309 N HUGHES ST
LITTLE ROCK AR 72207

Organization’s website CARLSKIDS.COM
Organization’s email KIDS@CARLSKIDS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/2009
Organization Incorporation State AR
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: 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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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