FORM 1023-EZ for MY JUBILEE SERVICES INC

Field Data
EIN 47-4991379
Case Number EO-2015253-000372
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MY JUBILEE SERVICES INC
Organization’s Mailing Address 1610 WRIGHT AV
City GREENSBORO
State NC
ZIP 27403
Accounting period End 12
Primary contact name JEROMY FORSHEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEROMY FORSHEE
PRESIDENT
1610 WRIGHT AV
GREENSBORO NC 27403

Officer/Director/Trustee Two

JANE WELLS
VICE PRESIDENT
9166 COUNTY LINE ROAD
KERNERSVILLE NC 27284

Officer/Director/Trustee Three

SHANDRA BRYANT
SECRETARY
4507 PRESTBURY DR
GREENSBORO NC 27455

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P44 - Homemaker, Home Health Aide
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 Yes
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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