FORM 1023-EZ for SWINGING FOR JIMMY FOUNDATION

Field Data
EIN 47-4773832
Case Number EO-2018141-000043
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SWINGING FOR JIMMY FOUNDATION
Organization’s Mailing Address 77 WILLIAM DR
City CLYDE
State FL
ZIP 28721
Accounting period End 8
Primary contact name JUSTIN WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN WILSON
EXECUTIVE DIRECTOR
3113 GARDEN BROOK RD
JACKSONVILLE FL 32208-8438

Officer/Director/Trustee Two

TYLER STEPHENSON
DIRECTOR OF OPERATIONS
PO BOX 1232
CLYDE NC 28721

Officer/Director/Trustee Three

MICHAEL ALLEN
SECRETARY
57 LOWELL BROOK LANE
CANTON NC 28716

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/22/16
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - 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 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 JUSTIN WILSON
Signature Title EXECUTIVE DIRECTOR
Signature Date 5/15/18

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