FORM 1023-EZ for JACKSON DAY FOUNDATION

Field Data
EIN 83-3937642
Case Number EO-2019091-000447
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACKSON DAY FOUNDATION
Organization’s Mailing Address 2262 W 750 N
City HURRICANE
State UT
ZIP 84737-3460
Accounting period End 12
Primary contact name LISA DAY MERCER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA DAY MERCER
DIRECTOR -CHAIR
2262 W 750 N
HURRICANE UT 84737-3460

Officer/Director/Trustee Two

DARRYL WOLCOTT
DIRECTOR- TREASURER
135 S 2600 W
HURRICANE UT 84737-3480

Officer/Director/Trustee Three

CANDICE SUDWEEKS
DIRECTOR- SECRETARY
43 W WESTFIELD
TOQUERVILLE UT 84774-484

Officer/Director/Trustee Four

BARBARA LOPER
DIRECTOR
768 N 2460 W
HURRICANE UT 84737-3459

Officer/Director/Trustee Five

ADAM DESJARDINS
DIRECTOR
2228 VALLEY LAKE
EL CAJON CA 92020-1033

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/19
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D02 - Management & Technical Assistance
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
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 LISA DAY MERCER
Signature Title DIRECTOR -CHAIR
Signature Date 3/27/19

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