FORM 1023-EZ for JACKSONS COMMUNITY ACTION FUND INC

Field Data
EIN 82-3410764
Case Number EO-2018323-000340
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACKSONS COMMUNITY ACTION FUND INC
Organization’s Mailing Address 4233 DONCASTER DR
City MADISON
State WI
ZIP 53711-3715
Accounting period End 12
Primary contact name MATTHEW JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW JONES
DIRECTOR
4233 DONCASTER DR
MADISON WI 53711-3715

Officer/Director/Trustee Two

MACKENZIE REYNOLDS
DIRECTOR
4233 DONCASTER DR
MADISON WI 53711-3715

Officer/Director/Trustee Three

DOMINIC MOORE
DIRECTOR
12 NEW BERM CT
MADISON WI 53719-2215

Organization’s website
Organization’s email JACKSONJONESCOMEDIAN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/17
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 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 MATTHEW JONES
Signature Title DIRECTOR
Signature Date 11/15/18

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