FORM 1023-EZ for JB FAM FUND

Field Data
EIN 86-1548849
Case Number EO-2021099-001591
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JB FAM FUND
Organization’s Mailing Address 5900 BALCONES DRIVE STE 100
City AUSTIN
State TX
ZIP 78731
Accounting period End 3
Primary contact name JOYCE ELAINE RUDYANTO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOYCE RUDYANTO
DIRECTOR, VICE PRESIDENT, SECRETARY
8405 OLD BEE CAVES RD APT 313
AUSTIN TX 78735

Officer/Director/Trustee Two

BERNARD RUDYANTO
DIRECTOR, PRESIDENT
8405 OLD BEE CAVES RD APT 313
AUSTIN TX 78735

Officer/Director/Trustee Three

SATRIO WINARENDO
DIRECTOR
JL KAPULOGO NO 238 C NOLOGATEN RT
YOGYAKARTA ID 55281

Officer/Director/Trustee Four

DYAVINA RUSIARTO
DIRECTOR
JL KAPULOGO NO 238 C NOLOGATEN RT
YOGYAKARTA ID 55281

Organization’s website WWW.JBFAMFUND.ORG
Organization’s email JBFAMFUND@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/2021
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 Yes
Donation of funds No
Conducting Activities Outside of United States Yes
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 JOYCE RUDYANTO
Signature Title DIRECTOR, VICE PRESIDENT, SECRETARY
Signature Date 3/21/2021

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