FORM 1023-EZ for REV IVERSON JARRELL SR FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-4074623 |
| Case Number | EO-2019203-000242 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | REV IVERSON JARRELL SR FOUNDATION |
| Organization’s Mailing Address | 1136 LEXINGTON LANE |
| City | DESOTO |
| State | HI |
| ZIP | 75115 |
| Accounting period End | 12 |
| Primary contact name | IVERSON JARRELL JR |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
IVERSON JARRELL JR
DIRECTOR
6839A 111TH STREET
EWA BEACH HI 96706
Officer/Director/Trustee Two
JACQUELINE JARRELL
MEMBER
6839A 111TH STREET
EWA BEACH HI 96706
Officer/Director/Trustee Three
ESSENCE JARRELL
MEMBER
6839A 111TH STREET
EWA BEACH HI 96706
Officer/Director/Trustee Four
MANDERALL HENRY
MEMBER
419 MECHE RD
ARNAUDVILLE HI 70512
Officer/Director/Trustee Five
IVERSON JARRELL III
MEMBER
7823 MEADOW AVE
BATON ROUGE LA 70811
| Organization’s website | |
|---|---|
| Organization’s email | IVERSON.JARRELL@YAHOO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/24/19 |
| Organization Incorporation State | TX |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O52 - Youth Development - Agricultural |
| 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 | IVERSON JARRELL JR |
| Signature Title | DIRECTOR |
| Signature Date | 7/17/19 |
| EIN | 83-4074623 |
| Case Number | EO-2019203-000242 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | REV IVERSON JARRELL SR FOUNDATION |
| Organization’s Mailing Address | 1136 LEXINGTON LANE |
| City | DESOTO |
| State | TX |
| ZIP | 75115 |
| Accounting period End | 12 |
| Primary contact name | IVERSON JARRELL JR |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
IVERSON JARRELL JR
DIRECTOR
6839A 111TH STREET
EWA BEACH HI 96706
Officer/Director/Trustee Two
JACQUELINE JARRELL
MEMBER
6839A 111TH STREET
EWA BEACH HI 96706
Officer/Director/Trustee Three
ESSENCE JARRELL
MEMBER
6839A 111TH STREET
EWA BEACH HI 96706
Officer/Director/Trustee Four
MANDERALL HENRY
MEMBER
419 MECHE RD
ARNAUDVILLE HI 70512
Officer/Director/Trustee Five
IVERSON JARRELL III
MEMBER
7823 MEADOW AVE
BATON ROUGE LA 70811
| Organization’s website | |
|---|---|
| Organization’s email | IVERSON.JARRELL@YAHOO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/24/19 |
| Organization Incorporation State | TX |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O52 - Youth Development - Agricultural |
| 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 | IVERSON JARRELL JR |
| Signature Title | DIRECTOR |
| Signature Date | 7/17/19 |
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