FORM 1023-EZ for JEANNIE ANNS FOUNDATION

Field Data
EIN 84-2769584
Case Number EO-2019233-000264
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JEANNIE ANNS FOUNDATION
Organization’s Mailing Address 8481 QUANT AVE S
City HASTINGS
State MN
ZIP 55033-9492
Accounting period End 12
Primary contact name DIANE DAVIES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANE DAVIES
DIRECTOR
8481 QUANT AVE S
HASTINGS MN 55033-9492

Officer/Director/Trustee Two

DONALD DAVIES
DIRECTOR
8481 QUANT AVE S
HASTINGS MN 55033-9492

Officer/Director/Trustee Three

KRISI JACOBS
DIRECTOR
8487 QUANT AVE S
HASTINGS MN 55033-9492

Officer/Director/Trustee Four

JEFF JACOBS
DIRECTOR
8487 QUANT AVE S
HASTINGS MN 55033-9492

Officer/Director/Trustee Five

ELSIE JACOBS
DIRECTOR
8487 QUANT AVE S
HASTINGS MN 55033-9492

Organization’s website
Organization’s email DIANEDAVIES48@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/19
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 DIANE DAVIES
Signature Title DIRECTOR
Signature Date 8/19/19

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