FORM 1023-EZ for JEFFERSON COUNTY FAMILY RESOURCE CENTER INC

Field Data
EIN 81-4142067
Case Number EO-2017128-000288
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JEFFERSON COUNTY FAMILY RESOURCE CENTER INC
Organization’s Mailing Address 4 GLEN IRIS PARK S
City BIRMINGHAM
State AL
ZIP 35205-5906
Accounting period End 6
Primary contact name STEPHEN L SEXTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAYMOND CHAMBLISS
DIRECTOR
120 2ND COURT NORTH
BIRMINGHAM AL 35204-4718

Officer/Director/Trustee Two

SANDRA STORM
DIRECTOR
120 2ND COURT NORTH
BIRMINGHAM AL 35204-4718

Officer/Director/Trustee Three

STEPHEN SEXTON
DIRECTOR
120 2ND COURT NORTH
BIRMINGHAM AL 35204-4718

Officer/Director/Trustee Four

CARRIE BUNTAIN
DIRECTOR
120 2ND COURT NORTH
BIRMINGHAM AL 35204-4718

Officer/Director/Trustee Five

CAROLYN FOSTER
DIRECTOR
120 2ND COURT NORTH
BIRMINGHAM AL 35204-4718

Organization’s website WWW.JEFFCOFRC.ORG
Organization’s email INFO@JEFFCOFRC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/2016
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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