FORM 1023-EZ for JACO DISASTER RELIED FUNDRAISING

Field Data
EIN 84-2819910
Case Number EO-2019294-000387
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACO DISASTER RELIED FUNDRAISING
Organization’s Mailing Address 11010 W HWY 156
City WEST FORK
State AR
ZIP 72774
Accounting period End 12
Primary contact name DANA J PARTEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANA PARTEN
TRUSTEE
11010 W HWY 156
WEST FORK AR 72774

Officer/Director/Trustee Two

DAVE PARTEN
DIRECTOR
11010 W HWY 156
WEST FORK AR 72774

Officer/Director/Trustee Three

CARLA RIPPER
DIRECTOR
77 KINGSBRIDGE WAY
LITTLE ROCK AR 72212

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/19
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - 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 Yes
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 DANA PARTEN
Signature Title TRUSTEE
Signature Date 10/17/19

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