FORM 1023-EZ for THE MOVEMENT JAX INC

Field Data
EIN 47-2616771
Case Number EO-2015121-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE MOVEMENT JAX INC
Organization’s Mailing Address P O BOX 440157
City JACKSONVILLE
State FL
ZIP 32222
Accounting period End 1
Primary contact name JERMAINE THOMAS SR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JERMAINE THOMAS
EXECUTIVE DIRECTOR
7364 EDENFIELD PARK RD
JACKSONVILLE FL 32244

Officer/Director/Trustee Two

GEREE LOCKETT
PRESIDENT
PO BOX 551502
JACKSONVILLE FL 32255

Officer/Director/Trustee Three

KENDRA SHEALEY
VICE PRESIDENT
6734 PERIWINKLE
JACKSONVILLE FL 32244

Officer/Director/Trustee Four

TOMMIE ALLISION
TREASURER
6534 DIAMOND LEAF CT
JACKSONVILLE FL 32244

Officer/Director/Trustee Five

DONNA HAWKINS
SECRETARY
2272 BRIAN LAKES
JACKSONVILLE FL 32221

Organization’s website THEMOVEMENTJAX.NET
Organization’s email MOVEMENTJAX@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I21 - Delinquency Prevention
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 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
Signature Title
Signature Date

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