FORM 1023-EZ for JILLIANS ANGELIC DREAMS INC

Field Data
EIN 83-4590614
Case Number EO-2019133-000347
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JILLIANS ANGELIC DREAMS INC
Organization’s Mailing Address 7 ROSEMEADOW WAY
City AQUINNAH
State MA
ZIP 2535
Accounting period End 12
Primary contact name ALAN P SLATAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALAN SLATAS
CEO / SECRETARY
7 ROSE MEADOW WAY
AQUINNAH MA 2535

Officer/Director/Trustee Two

DEVIN SLATAS
CHIEF MARKETING OFFICER
1049 3RD STREET
ENCINITAS NY 92024

Officer/Director/Trustee Three

ALBERT AYSON
CHIEF OPERATING OFFICER
70 WEST 93 APT 29D
NEW YORK NY 10025

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/19
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F50 - Addictive Disorders N.E.C.
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 ALAN SLATAS
Signature Title CEO / SECRETARY
Signature Date 5/9/19

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