FORM 1023-EZ for JACKSON HOOP FOUNDATION

Field Data
EIN 81-3488082
Case Number EO-2016328-000084
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JACKSON HOOP FOUNDATION
Organization’s Mailing Address 202 INDUSTRIAL PARK
City JACKSON
State MN
ZIP 56143
Accounting period End 12
Primary contact name JODI JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JODI JOHNSON
PRESIDENT
202 INDUSTRIAL PARK
JACKSON MN 56143

Officer/Director/Trustee Two

ROSEMARY DAVIS
SECRETARY
202 INDUSTRIAL PARK
JACKSON MN 56143

Officer/Director/Trustee Three

SUZANNE PRINE
TREASURER
202 INDUSTRIAL PARK
JACKSON MN 56143

Organization’s website
Organization’s email JEFF.NELSON@AGCOCORP.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/2016
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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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