FORM 1023-EZ for ACTION JACKSON FOUNDATION INC

Field Data
EIN 81-4783010
Case Number EO-2018025-000135
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ACTION JACKSON FOUNDATION INC
Organization’s Mailing Address 7504 OAK TREE LANE
City SPRING HILL
State FL
ZIP 34607
Accounting period End 12
Primary contact name CONNIE WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY JACKSON
PRESIDENT/ TREASURER
7504 OAK TREE LANE
SPRING HILL FL 34607

Officer/Director/Trustee Two

JAMES THORPE
VICE PRESIDENT
25241 BUNTING CIRCLE
LAND O LAKES FL 34639

Officer/Director/Trustee Three

KRISTINE THORPE
SECRETARY
25241 BUNTING CIRCLE
LAND O LAKES FL 34639

Organization’s website WWW.THEAJF.ORG
Organization’s email INFO@THEAJF.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/18/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 ANTHONY JACKSON
Signature Title PRESIDENT/ TREASURER
Signature Date 1/23/18

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