FORM 1023-EZ for JACOBS MEMORIAL FOUNDATION INC

Field Data
EIN 30-0704409
Case Number EO-2016328-000191
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JACOBS MEMORIAL FOUNDATION INC
Organization’s Mailing Address 49 GEORGE BROWN ST
City BILLERICA
State MA
ZIP 01821
Accounting period End 12
Primary contact name SEBASTIAN A UGOCHUKWU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SEBASTIAN UGOCHUKWU
PRESIDENT
49 GEORGE BROWN ST
BILLERICA MA 01821

Officer/Director/Trustee Two

DIANNE DIANA
TREASURER
49 GEORGE BROWN ST
BILLERICA MA 01821

Officer/Director/Trustee Three

MEL IGBOKWE
CLERK
49 GEORGE BROWN ST
BILLERICA MA 01821

Officer/Director/Trustee Four

SEBASTIAN UGOCHUKWU
DIRECTOR
49 GEORGE BROWN ST
BILLERICA MA 01821

Officer/Director/Trustee Five

MEL IGBOKWE
DIRECTOR
49 GEORGE BROWN ST
BILLERICA MA 01821

Organization’s website
Organization’s email SEBASTIANUGOCHUKWU@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2011
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 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 No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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