FORM 1023-EZ for FRIENDS OF JEROME

Field Data
EIN 87-2169697
Case Number EO-2021243-000058
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF JEROME
Organization’s Mailing Address 700 HOLLY AVENUE BOX J
City JEROME
State AZ
ZIP 86331
Accounting period End 12
Primary contact name JACK DILLENBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACK DILLENBERG
PRESIDENT
700 HOLLY AVENUE
JEROME AZ 86331

Officer/Director/Trustee Two

CHUCK ROMBERGER
VICE PRESIDENT
420 HULL AVE
JEROME AZ 86331

Officer/Director/Trustee Three

MICHELLE ROMBERGER
TREASURER
420 HULL AVE
JEROME AZ 86331

Organization’s website FRIENDSOFJEROME.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2021
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JACK DILLENBERG
Signature Title PRESIDENT
Signature Date 8/28/2021

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