FORM 1023-EZ for JLM FOUNDATION INC

Field Data
EIN 81-5386363
Case Number EO-2021200-000530
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JLM FOUNDATION INC
Organization’s Mailing Address 450 MASSACHUSETTS AVE NW APT 1213
City WASHINGTON
State DC
ZIP 20001
Accounting period End 12
Primary contact name AGNES NABASIRYE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AGNES NABASIRYE
PRESIDENT
450 MASSACHUSETTS AVE NW APT 1213
WASHINGTON DC 20001

Officer/Director/Trustee Two

STEPHEN RICHER
TREASURER
62 53RD CIRCLE
GULFPORT MS 39507

Officer/Director/Trustee Three

MOUNIA DANIELS
DIRECTOR
7770 REGENTS ROAD APT 113
SAN DIEGO CA 92122

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2016
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T20 - Private Grantmaking Foundations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States Yes
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 AGNES NABASIRYE
Signature Title PRESIDENT
Signature Date 7/16/2021

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