FORM 1023-EZ for FOUNDATION 15 IN MEMORY OF JORDAN DARRELL INC

Field Data
EIN 47-1887353
Case Number EO-2014356-000347
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOUNDATION 15 IN MEMORY OF JORDAN DARRELL INC
Organization’s Mailing Address 1845 SPOTTED OWL DRIVE
City VERO BEACH
State FL
ZIP 32962
Accounting period End 12
Primary contact name JENNIFER GRAVES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KARA DARRELL
DIRECTOR
1845 SPOTTED OWL DRIVE
VERO BEACH FL 32962

Officer/Director/Trustee Two

JENNIFER BARKER
PRESIDENT
7457 16TH MANOR
VERO BEACH FL 32966

Officer/Director/Trustee Three

MAMIE PRUITT
TREASURER
1845 SPOTTED OWL DRIVE
VERO BEACH FL 32962

Officer/Director/Trustee Four

JENNIFER GRAVES
DIRECTOR
6350 PARK CHESTER TERRECE
VERO BEACH FL 32967

Officer/Director/Trustee Five

LAURYN WRIGHT
SECRETARY
1845 SPOTTED OWL DRIVE
VERO BEACH FL 32962

Organization’s website WWW.FOUNDATION15.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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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