FORM 1023-EZ for JIREH FARM FOUNDATION INC

Field Data
EIN 84-2670021
Case Number EO-2019227-000216
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JIREH FARM FOUNDATION INC
Organization’s Mailing Address 1310 N MINERAL SPRINGS RD
City DURHAM
State NC
ZIP 27703
Accounting period End 12
Primary contact name IMMANUEL JARVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

IMMANUEL JARVIS
PRESIDENT
1310 N MINERAL SPRINGS RD
DURHAM NC 27703

Officer/Director/Trustee Two

VALARIE JARVIS
VICE PRESIDENT
1310 N MINERAL SPRINGS RD
DURHAM NC 27703

Officer/Director/Trustee Three

MAKAYLA JARVIS
BOARD MEMBER
1310 N MINERAL SPRINGS RD
DURHAM NC 27703

Officer/Director/Trustee Four

CAMILLE JARVIS
BOARD MEMBER
1310 N MINERAL SPRINGS RD
DURHAM NC 27703

Officer/Director/Trustee Five

GLADWIN JARVIS
BOARD MEMBER
2901 BERGAMONT CT
RALEIGH NC 27614

Organization’s website WWW.JIREHFAMILYFARM.NET
Organization’s email IJARVIS76@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K20 - Agricultural Programs
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 IMMANUEL JARVIS
Signature Title PRESIDENT
Signature Date 8/13/19

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