FORM 1023-EZ for FOREVERJADEN

Field Data
EIN 84-1739643
Case Number EO-2019142-000183
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOREVERJADEN
Organization’s Mailing Address 38590 CARPENTER DYESVILLE RD
City POMEROY
State OH
ZIP 45769-9651
Accounting period End 12
Primary contact name ROB SCRIBNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROB SCRIBNER
PRESIDENT / DIRECTOR
38590 CARPENTER DYESVILLE RD
POMEROY OH 45769-9651

Officer/Director/Trustee Two

DUSTIN BRITTON
SECRETARY / DIRECTOR
38590 CARPENTER DYESVILLE RD
POMEROY OH 45769-9651

Officer/Director/Trustee Three

JEANA MARIE NICHOLAS
TREASURER / DIRECTOR
38590 CARPENTER DYESVILLE RD
POMEROY OH 45769-9651

Organization’s website HTTPS://FOREVERJADEN.COM/
Organization’s email LISTENING@FOREVERJADEN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 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 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 ROB SCRIBNER
Signature Title PRESIDENT / DIRECTOR
Signature Date 5/20/19

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