FORM 1023-EZ for SHARE JAX INC

Field Data
EIN 81-4885804
Case Number EO-2018208-000182
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHARE JAX INC
Organization’s Mailing Address 6120 CLEARSKY DRIVE
City JACKSONVILLE
State FL
ZIP 32258
Accounting period End 12
Primary contact name DEBRA J CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBRA CLARK
DIRECTOR
6120 CLEARSKY DRIVE
JACKSONVILLE FL 32258

Officer/Director/Trustee Two

BRADLEY CLARK
DIRECTOR
5909 ST AUGUSTINE ROAD
JACKSONVILLE FL 32207

Officer/Director/Trustee Three

SEAN SMITH
DIRECTOR
2930 BEAUCLERC ROAD
JACKSONVILLE FL 32257

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/16
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 DEBRA CLARK
Signature Title DIRECTOR
Signature Date 7/25/18

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