FORM 1023-EZ for TRENT JORDAN FOUNDATION INC

Field Data
EIN 81-1931495
Case Number EO-2017003-000087
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRENT JORDAN FOUNDATION INC
Organization’s Mailing Address 204 DAVIS AVENUE PO BOX 2727
City ELKINS
State WV
ZIP 26241
Accounting period End 12
Primary contact name TAMMY WILLIAMS CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMMY WILLIAMS
PRESIDENT
18 MAPLE LANE
ELKINS WV 26241

Officer/Director/Trustee Two

BRYAN JORDAN
VICE PRESIDENT
18 RAINBOW ESTATES
MONTROSE WV 26273

Officer/Director/Trustee Three

TRISTA JORDAN
SECRETARY
103 FAIRLANE AVENUE
FAIRMONT WV 26554

Officer/Director/Trustee Four

BRYAN JORDAN
TREASURER
113 LACEY LANE
ABERDEEN WV 28315

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/2016
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
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 Yes
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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