FORM 1023-EZ for JAXONS KEEP INC

Field Data
EIN 83-1962345
Case Number EO-2018269-000281
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JAXONS KEEP INC
Organization’s Mailing Address 3421 N PARK AVE SUITE 550
City INDIANAPOLIS
State IN
ZIP 46205
Accounting period End 12
Primary contact name RUSSELL JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RUSSELL JACKSON
PRESIDENT
6753 LONG RUN DRIVE
INDIANAPOLIS IN 46268

Officer/Director/Trustee Two

BARRY RAGER
SECRETARY
408 RUSKIN PLACE
INDIANAPOLIS IN 46205

Officer/Director/Trustee Three

WILLIAM COVELL
TREASURER
5320 HILL VALLEY DRIVE
PITTSBORO IN 46167

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X19 - Nonmonetary Support N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 RUSSELL JACKSON
Signature Title PRESIDENT
Signature Date 9/24/18

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