FORM 1023-EZ for KENT JONES FAMILY COMMUNITY CRISISCENTERED CARE FOUNDATION

Field	Data
EIN	82-1375580
Case Number	EO-2019219-000319
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	KENT JONES FAMILY COMMUNITY CRISISCENTERED CARE FOUNDATION
Organization’s Mailing Address	P O BOX 25565
City	TAMARAC
State	FL
ZIP	33320
Accounting period End	12
Primary contact name	VALORIE PARHAM
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00

Officer/Director/Trustee One

VALORIE PARHAM
PRESIDENT
P O BOX 25565
TAMARAC FL 33320

Officer/Director/Trustee Two

STRPHANNIE MACKLIN
SECRETARY
P O BOX 25565
TAMARAC FL 33320

Officer/Director/Trustee Three

DEIDRA PARHAM
TREASURER
P O BOX 25565
TAMARAC FL 33320

Officer/Director/Trustee Four

KENT DARYL JONES 11
VICE PRESIDENT
P O BOX 25565
TAMARAC FL 33320

Officer/Director/Trustee Five

BRENDA PARHAM
CHAPLAIN
P O BOX 25565
TAMARAC FL 33320

Organization’s website	NA
Organization’s email	VALORIEPARHAM@GMAIL.COM
Organization Incorporated	Yes
Organization trust	No
Necessary Organizing Documents	Yes
Organization Incorporation Date	3/31/17
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: 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	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	VALORIE PARHAM
Signature Title	PRESIDENT
Signature Date	8/5/19
EIN	82-1375580
Case Number	EO-2019219-000319
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	KENT JONES FAMILY COMMUNITY CRISIS CENTERED CARE FOUNDATION
Organization’s Mailing Address	P O BOX 25565
City	TAMARAC
State	FL
ZIP	33320
Accounting period End	12
Primary contact name	VALORIE PARHAM
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00