FORM 1023-EZ for JERSEY FOR THE WORTHY INC

Field Data
EIN 84-2583651
Case Number EO-2019226-000323
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JERSEY FOR THE WORTHY INC
Organization’s Mailing Address 5635 ARBOR LN
City CORAL GABLES
State FL
ZIP 33156
Accounting period End 12
Primary contact name MARIA STANHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATIAS GUTIERREZ
PRESIDENT, DIRECTOR
5635 ARBOR LN
CORAL GABLES FL 33156

Officer/Director/Trustee Two

WALKER WHITE
VICE PRESIDENT, DIRECTOR
5635 ARBOR LN
CORAL GABLES FL 33156

Officer/Director/Trustee Three

MARIA STANHAM
SECRETARY, DIRECTOR
5635 ARBOR LN
CORAL GABLES FL 33156

Officer/Director/Trustee Four

JESSICA WHITE
TREASURER, DIRECTOR
5635 ARBOR LN
CORAL GABLES FL 33156

Officer/Director/Trustee Five

ROBERTA MEYERINGH
DIRECTOR
5635 ARBOR LN
CORAL GABLES FL 33156

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARIA STANHAM
Signature Title SECRETARY, DIRECTOR
Signature Date 8/12/19

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