FORM 1023-EZ for NEWARK AREA JAYCEES INC

Field Data
EIN 47-5528979
Case Number EO-2016021-000448
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEWARK AREA JAYCEES INC
Organization’s Mailing Address 912 MOUNT VERNON RD
City NEWARK
State OH
ZIP 43055
Accounting period End 12
Primary contact name MICHAEL A HAAS EA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LUKE KELLETT
PRESIDENT
314 MILL RACE RD
GRANVILLE OH 43023

Officer/Director/Trustee Two

ALTON THOMPSON
VICE PRESIDENT
185 JENNA DR
NEWARK OH 43055

Officer/Director/Trustee Three

PENNY DRUMM
SECRETARY
704 N 21ST ST
NEWARK OH 43055

Officer/Director/Trustee Four

HOLLY PAHOUNDIS
TREASURER
162 BURTRIDGE RD
GRANVILLE OH 43023

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y03 - Professional Societies, Associations
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
Signature Title
Signature Date

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