FORM 1023-EZ for THE STACY ANNE JACOBS FOUNDATION
| Field | Data |
|---|---|
| EIN | 85-3283733 |
| Case Number | EO-2020281-000305 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE STACY ANNE JACOBS FOUNDATION |
| Organization’s Mailing Address | 1717 RIVERSIDE DR APT 517 |
| City | TULSA |
| State | OK |
| ZIP | 74119-4678 |
| Accounting period End | 12 |
| Primary contact name | PHILIP S HANEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
RONALD SELLERS
DIRECTOR, PRESIDENT
1717 RIVERSIDE DR APT 517
TULSA OK 74119-4678
Officer/Director/Trustee Two
STEPHANIE JACOBS
DIRECTOR, SECRETARY, TREASURER
11401 S HARVARD AVE
TULSA OK 74137-7807
Officer/Director/Trustee Three
HARRY JACOBS
DIRECTOR
11401 S HARVARD AVE
TULSA OK 74137-7807
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/11/2020 |
| Organization Incorporation State | OK |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T20 - Private Grantmaking Foundations |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | RONALD SELLERS |
| Signature Title | DIRECTOR, PRESIDENT |
| Signature Date | 10/5/2020 |
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