FORM 1023-EZ for NEIGHBORHOOD ASSOCIATION OF JEFFERSON TOWNSHIP

Field Data
EIN 81-4807355
Case Number EO-2017003-000357
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEIGHBORHOOD ASSOCIATION OF JEFFERSON TOWNSHIP
Organization’s Mailing Address 1700 ALAMO COURT
City DAYTON
State OH
ZIP 45417
Accounting period End 12
Primary contact name SHEILA BACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHEILA BACK
PRESIDENT
1700 ALAMO COURT
DAYTON OH 45417

Officer/Director/Trustee Two

JAN BAYLOR
TREASURE
1443 BLAIRWOOD AVENUE
DAYTON OH 45417

Officer/Director/Trustee Three

ANDREA UPSHAW
SECRETARY
5125 ALTRIM RD
DAYTON OH 45417

Organization’s website N/A
Organization’s email NEIGHBORHOODJT@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2013
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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