FORM 1023-EZ for JIM DOTSON FOUNDATION INC

Field Data
EIN 82-5522583
Case Number EO-2018165-000645
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JIM DOTSON FOUNDATION INC
Organization’s Mailing Address 6814 BARKWOOD DR
City JACKSONVILLE
State FL
ZIP 32277
Accounting period End 12
Primary contact name CAROLYN J CHESSER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROLYN CHESSER
PRESIDENT
6814 BARKWOOD DR
JACKSONVILLE FL 32277

Officer/Director/Trustee Two

BETTIEMAE KITCHENS
VICE PRESIDENT
5409 MARSH CREEK
JACKSONVILLE FL 32277

Officer/Director/Trustee Three

CYNTHIA DOTSON
SECERATARY
6349 ANVIL ROAD
JACKSONVILLE FL 32277

Officer/Director/Trustee Four

DEANNA BOYETTE
ETC
3537 JACQUELINE DR
JACKSONVILLE FL 32277

Officer/Director/Trustee Five

CAROL LAFONE
TREASURER
12250 SCOTTS COVE TRL
JACKSONVILLE FL 32225

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 Yes
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 CAROLYN CHESSER
Signature Title PRESIDENT
Signature Date 6/12/18

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