FORM 1023-EZ for JAY RO FAMILY FUND

Field Data
EIN 47-4432209
Case Number EO-2015187-000453
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JAY RO FAMILY FUND
Organization’s Mailing Address C/O MESSMER 742 W CAPTIOL DR
City MILWAUKEE
State WI
ZIP 53206
Accounting period End 12
Primary contact name BRADLEY J DAGEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS HEINEN
RESPONSIBLE PARTY
742 W CAPITOL DR
MILWAUKEE WI 53206

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/2015
Organization Incorporation State WI
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: 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 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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