FORM 1023-EZ for JACOBS LADDER OUTREACH CORPORATION

Field Data
EIN 85-1472400
Case Number EO-2020188-000332
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACOBS LADDER OUTREACH CORPORATION
Organization’s Mailing Address 1094 EQUINOX BLVD
City MOUNT WASHINGTON
State KY
ZIP 40047
Accounting period End 12
Primary contact name ANGELA TAMURA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TYCIE WATSON-CARTER
PRESIDENT
3217 WELMAN DRIVE
LOUISVILLE KY 40216

Officer/Director/Trustee Two

LISA REAU
VICE PRESIDENT
7903 WINDGATE DRIVE
LOUISVILLE KY 40291

Officer/Director/Trustee Three

MARIA MILES
TREASURER
7504 E MANSLICK ROAD
LOUISVILLE KY 40228

Officer/Director/Trustee Four

AMY KOENIG
SECRETARY
104 HODGE DRIVE
CLARKSVILLE IN 47129

Officer/Director/Trustee Five

ANGELA TAMURA
CO-FOUNDER
1094 EQUINOX BLVD
MOUNT WASHINGTON KY 40047

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/2020
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 ANGELA TAMURA
Signature Title CO-FOUNDER
Signature Date 7/1/2020

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