FORM 1023-EZ for JACOBS PENGUINS

Field Data
EIN 83-2476484
Case Number EO-2018317-000288
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACOBS PENGUINS
Organization’s Mailing Address 11 CREEKS EDGE DRIVE
City SACO
State ME
ZIP 4072
Accounting period End 12
Primary contact name MICHELLE SIMARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE SIMARD
PRESIDENT
11 CREEKS EDGE DR
SACO ME 4072

Officer/Director/Trustee Two

HEATHER HAMILTON
VICE PRESIDENT
75 LONGWOOD AVE UNIT 3F
BROOKLINE MA 2446

Officer/Director/Trustee Three

SARAH HUNTER
SEC AND TRES
393 RUNAROUND POND RD
DURHAM MA 4222

Organization’s website WWW.JACOBSPENGUINS.ORG
Organization’s email MRSSIMARD2013@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/18
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y12 - 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 MICHELLE SIMARD
Signature Title PRESIDENT
Signature Date 11/8/18

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