FORM 1023-EZ for JORDAN PARSONS MEMORIAL
| Field | Data |
|---|---|
| EIN | 82-1635591 |
| Case Number | EO-2019120-000056 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | JORDAN PARSONS MEMORIAL |
| Organization’s Mailing Address | 11637 RANGE LINE RD |
| City | BERRIEN SPRINGS |
| State | MI |
| ZIP | 49103-9621 |
| Accounting period End | 12 |
| Primary contact name | TYLER ROOTS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JEREMY DYBDAHL
DIRECTOR
3248 N CHABOT RD
BENTON HARBOR MI 49022-9526
Officer/Director/Trustee Two
TYLER BURBACH
ASSISTANT DIRECTOR
105 N CENTER STREET
HARTFORD MI 49057-1136
Officer/Director/Trustee Three
ANTON LOCKETT
TREASURER
9002 FIFTH STREET
BARODA MI 49101
Officer/Director/Trustee Four
TYLER ROOTS
SECRETARY
11637 RANGE LINE ROAD
BERRIEN SPRINGS MI 49103-9621
| Organization’s website | |
|---|---|
| Organization’s email | JORDANPARSONSSCHOLARSHIP@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/14/19 |
| Organization Incorporation State | MI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | I12 - Fund Raising and/or Fund Distribution |
| Organization’s purpose | Charitable: Yes 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 | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | TYLER ROOTS |
| Signature Title | SECRETARY |
| Signature Date | 4/26/19 |
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