FORM 1023-EZ for JS HEAVEN

Field Data
EIN 47-3223055
Case Number EO-2015057-000162
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JS HEAVEN
Organization’s Mailing Address 1744 IRA DRIVE NE
City RIO RANCHO
State NM
ZIP 87144
Accounting period End 11
Primary contact name JANA QUINTERO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JINA QUINTERO
DIRECTOR
1744 IRA DIRVE NE
RIO RANCHO NM 87144

Officer/Director/Trustee Two

CHRISTIAN QUINTERO
DIRECTOR
1744 IRA DIRVE NE
RIO RANCHO NM 87144

Officer/Director/Trustee Three

AL QUINTERO
DIRECTOR
1744 IRA DIRVE NE
RIO RANCHO NM 87144

Officer/Director/Trustee Four

JANA QUINTERO
PRESIDENT
1744 IRA DRIVE NE
RIO RANCHO NM 87144

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/2015
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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