FORM 1023-EZ for THE JACOB D HANSEN MEMORIAL FUND
| Field | Data |
|---|---|
| EIN | 47-3816816 |
| Case Number | EO-2015117-000425 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | THE JACOB D HANSEN MEMORIAL FUND |
| Organization’s Mailing Address | 103 OSPREY RD |
| City | WAKEFIELD |
| State | RI |
| ZIP | 02879 |
| Accounting period End | 12 |
| Primary contact name | PAUL HANSEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
SHANNON PICKERING
DIRECTOR
36 ROSE COURT
CHARLESTOWN RI 02813
Officer/Director/Trustee Two
ANN-MARIE MURPHY
DIRECTOR
205 SUNNYBROOK FARM RD
NARRAGANSETT RI 02880
Officer/Director/Trustee Three
STEVEN HANSEN
DIRECTOR
103 OSPREY RD
WAKEFIELD RI 02879
Officer/Director/Trustee Four
JAMES HANSEN
DIRECTOR
21 EVAN WAY
KINGSTON RI 02881
Officer/Director/Trustee Five
PAUL HANSEN
DIRECTOR
103 OSPREY RD
WAKEFIELD RI 02879
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | |
| Organization trust | Yes |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/24/2015 |
| Organization Incorporation State | RI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P12 - Fund Raising and/or Fund Distribution |
| 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 | |
| Signature Title | |
| Signature Date |
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