FORM 1023-EZ for THE JOSHUA PERRY FAMILY FOUNDATION

Field Data
EIN 81-4998628
Case Number EO-2017041-000094
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE JOSHUA PERRY FAMILY FOUNDATION
Organization’s Mailing Address 5196 BAYSIDE RIDGE DRIVE
City GALENA
State OH
ZIP 43021-8534
Accounting period End 6
Primary contact name MARTHA CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES E PERRY III
PRESIDENT
5196 BAYSIDE RIDGE DRIVE
GALENA OH 43021-8534

Officer/Director/Trustee Two

MARTHA J CAMPBELL
SECRETARY
1027 N UHRICH STREET
UHRICHSVILLE OH 44683-1545

Officer/Director/Trustee Three

JOSHUA E PERRY
TRUSTEE
5196 BAYSIDE RIDGE DRIVE
GALENA OH 43021-8534

Officer/Director/Trustee Four

GEORGETTE M PERRY
TRUSTEE
5196 BAYSIDE RIDGE DRIVE
GALENA OH 43021-8534

Officer/Director/Trustee Five

JOHNNY L JACKSON
TRUSTEE
5393 CENTRAL COLLEGE ROAD
WESTERVILLE OH 43081-9376

Organization’s website N/A
Organization’s email JOSHUAPERRYFAMILYFOUND@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T99 - Philanthropy, Voluntarism, and Grantmaking Foundations N.E.C.
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 No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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