FORM 1023-EZ for JA TAYLOR FOUNDATION

Field Data
EIN 86-1934548
Case Number EO-2021085-001397
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JA TAYLOR FOUNDATION
Organization’s Mailing Address 761 EAST A STREET
City DIXON
State CA
ZIP 95620
Accounting period End 12
Primary contact name BRENT SEIFERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRENT SEIFERT
PRESIDENT
761 EAST A STREET
DIXON CA 95620

Officer/Director/Trustee Two

TED SEIFERT
TREASURER
761 EAST A STREET
DIXON CA 95620

Officer/Director/Trustee Three

JERI SEIFERT
SECRETARY
761 EAST A STREET
DIXON CA 95620

Officer/Director/Trustee Four

JENNIFER SEIFERT
DIRECTOR
761 EAST A STREET
DIXON CA 95620

Officer/Director/Trustee Five

WILL MOSLEY
DIRECTOR
761 EAST A STREET
DIXON CA 95620

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BRENT SEIFERT
Signature Title PRESIDENT
Signature Date 2/8/2021

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