FORM 1023-EZ for JACKSON BOXING CLUB

Field Data
EIN 81-4247090
Case Number EO-2020244-000297
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACKSON BOXING CLUB
Organization’s Mailing Address 1319 S 25TH AVE
City OMAHA
State NE
ZIP 68105
Accounting period End 12
Primary contact name JOSE CAMPOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSE CAMPOS
DIRECTOR-PRESIDENT
1319 S 25TH AVE
OMAHA NE 68105

Officer/Director/Trustee Two

JANDY CAMPOS
DIRECTOR- SECRETARY
1319 S 25TH AVE
OMAHA NE 68105

Officer/Director/Trustee Three

CHRISTIAN TRINIDAD
DIRECTOR- TREASURER
7434 JOSEPH AVE
LAVISTA NE 68122

Officer/Director/Trustee Four

MICHAEL JOHNSON
DIRECTOR
10609 CRIAG ST
OMAHA NE 68122

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/2016
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOSE CAMPOS
Signature Title DIRECTOR-PRESIDENT
Signature Date 8/27/2020

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