FORM 1023-EZ for MARCELLUS JONES MEMORIAL FOUNDATION

Field Data
EIN 83-1183167
Case Number EO-2018222-000381
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MARCELLUS JONES MEMORIAL FOUNDATION
Organization’s Mailing Address 1423 WAYNE STREET
City CAPE GIRARDEAU
State MO
ZIP 63701
Accounting period End 12
Primary contact name HEIDI LASHLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEN CAROTHERS
PRESIDENT
8831 STATE HIGHWAY W
JACKSON MO 63755

Officer/Director/Trustee Two

STEVE BELL
VICE PRESIDENT
51 MEMORY LANE
SCOTT CITY MO 63780

Officer/Director/Trustee Three

HEIDI LASHLEY
TREASURER
2903 DIANA DR
JACKSON MO 63755

Officer/Director/Trustee Four

SUSAN KING
SECRETARY
PO BOX 30
GORDONVILLE MO 63752

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - 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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HEIDI LASHLEY
Signature Title TREASURER
Signature Date 8/8/18

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