FORM 1023-EZ for JERRYS WALK ILLUMINATING SUICIDE AWARENESS

Field Data
EIN 81-1062473
Case Number EO-2017044-000088
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JERRYS WALK ILLUMINATING SUICIDE AWARENESS
Organization’s Mailing Address 251 N CASSINGHAM RD
City BEXLEY
State OH
ZIP 43209
Accounting period End 12
Primary contact name ABIGAIL M SAVING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANDRA WILLIAMS
PRESIDENT AND DIRECTOR
251 N CASSINGHAM
BEXLEY OH 43209

Officer/Director/Trustee Two

JAMES GAFFNEY
DIRECTOR
251 N CASSINGHAM RD
BEXLEY OH 43209

Officer/Director/Trustee Three

JEANETTE WILLIAMS
DIRECTOR
117 TUDOR DR
ST CLAIRSVILLE OH 43950

Officer/Director/Trustee Four

LUCINDA WILLIAMS
VICE PRESIDENT AND DIRECTOR
401 PITMAN RD
CAMPBELSVILLE KY 42718

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 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
Signature Title
Signature Date

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