FORM 1023-EZ for THE JUBAL ART HOUSE INC

Field Data
EIN 85-3729854
Case Number EO-2021083-000475
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE JUBAL ART HOUSE INC
Organization’s Mailing Address 2015 SANDGATE CIR
City COLLEGE PARK
State GA
ZIP 30349
Accounting period End 12
Primary contact name REGINALD PETERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REGINALD PETERSON
PRESIDENT, DIRECTOR
2015 SANDGATE CIR
COLLEGE PARK GA 30349

Officer/Director/Trustee Two

CRYSTAL BRUMMADGE
SECRETARY, DIRECTOR
3260 ROCK CREEK DR
REX GA 30273

Officer/Director/Trustee Three

JOHN HENRY
TREASURER, DIRECTOR
PO BOX 87471
COLLEGE PARK GA 30337

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/2018
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name REGINALD PETERSON
Signature Title PRESIDENT, DIRECTOR
Signature Date 11/16/2020

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