FORM 1023-EZ for JACOB HENKELMAN FOUNDATION
| Field | Data |
|---|---|
| EIN | 84-4990571 |
| Case Number | EO-2021260-000409 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | JACOB HENKELMAN FOUNDATION |
| Organization’s Mailing Address | 21785 CLARKE STREET |
| City | HARTFORD |
| State | IA |
| ZIP | 50118 |
| Accounting period End | 12 |
| Primary contact name | ASHLEY A MOORE ATTORNEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JEFFREY HENKELMAN
PRESIDENT AND DIRECTOR
21785 CLARKE STREET
HARTFORD IA 50118
Officer/Director/Trustee Two
STACY HENKELMAN
SECRETARY TREASURER
21785 CLARKE STREET
HARTFORD IA 50118
Officer/Director/Trustee Three
BRADY SMITH
DIRECTOR
521 53RD STREET
WEST DES MOINES IA 50266
Officer/Director/Trustee Four
MASON HENRICHS
DIRECTOR
335 DUNCAN STREET
HARTFORD IA 50118
Officer/Director/Trustee Five
TYLER DONOVAN
DIRECTOR
2348 HAMPSHIRE ROAD
FORT COLLINS CO 80526
| Organization’s website | |
|---|---|
| Organization’s email | JEFF.HENKELMAN63@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/2/2021 |
| Organization Incorporation State | IA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G12 - Fund Raising and/or Fund Distribution |
| Organization’s purpose | Charitable: Yes Religious: Yes Educational: Yes Scientific: Yes 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 | 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 | JEFFREY HENKELMAN |
| Signature Title | PRESIDENT AND DIRECTOR |
| Signature Date | 9/15/2021 |
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