FORM 1023-EZ for JAM HOPE FOUNDATION

Field Data
EIN 87-1227814
Case Number EO-2021210-000331
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JAM HOPE FOUNDATION
Organization’s Mailing Address 1460 133RD LANE NORTH
City HAM LAKE
State MN
ZIP 55304
Accounting period End 12
Primary contact name BRENDA NOLBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRENDA NOLBY
PRESIDENT
15423 JACKSON STREET NE
HAM LAKE MN 55304

Officer/Director/Trustee Two

STACEY CLAYSON
VICE PRESIDENT
2012 118TH LANE NORTH
BLAINE MN 55449

Officer/Director/Trustee Three

SHANA SCHMITZ
SECRETARY
18358 JENKINS SRTEET NE
EAST BETHEL MN 55011

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/2021
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 BRENDA NOLBY
Signature Title PRESIDENT
Signature Date 7/27/2021

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