FORM 1023-EZ for JACKSON ACADEMY

Field Data
EIN 66-0927214
Case Number EO-2019190-000326
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACKSON ACADEMY
Organization’s Mailing Address 1208 CALLE AZUCENA
City TRUJILLO ALTO
State PR
ZIP 976
Accounting period End 12
Primary contact name RAPHAEL JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAPHAEL JACKSON
PRESIDENT
1208 CALLE AZUCENA
TRUJILLO ALTO PR 976

Officer/Director/Trustee Two

SHANTEL HOSEIN
CHIEF OPERATIONS OFFICER
1208 CALLE AZUCENA
TRUJILLO ALTO PR 976

Officer/Director/Trustee Three

NANCY ORTIZ
SECRETARY / CURRICULUM SPECIALIST
14803 DAY LILY CT
ORLANDO FL 32428

Organization’s website
Organization’s email JACKSONACADEMYASHMORE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/5/19
Organization Incorporation State PR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U41 - Computer Science
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RAPHAEL JACKSON
Signature Title PRESIDENT
Signature Date 7/5/19

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