FORM 1023-EZ for JALAYAH HACKMAN FOUNDATION

Field Data
EIN 82-2615918
Case Number EO-2017286-000270
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JALAYAH HACKMAN FOUNDATION
Organization’s Mailing Address 1901 OTWELL RD
City JASPER
State AL
ZIP 35504
Accounting period End 12
Primary contact name SHERAE FLUKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERAE FLUKER
FOUNDER
1901 OTWELL RD
JASPER AL 35504

Officer/Director/Trustee Two

MICHAEL HACKMAN
VICE PRESIDENT
6615 HILL RD
EMPIRE AL 35063

Officer/Director/Trustee Three

LARRY HARRIS
TREASURER
1901 9TH WAY APT 1
JASPER AL 35501

Officer/Director/Trustee Four

VIVIAN HARRIS
SECRETARY
1901 9TH WAY APT 1
JASPER AL 35501

Officer/Director/Trustee Five

CHRISTIAN FLUKER
BOARD MEMBER
1901 OTWELL RD
JASPER AL 35504

Organization’s website JALAYAHHACKMANFOUNDATION.COM
Organization’s email JHACKMANFOUNDATION@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/2017
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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 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
Signature Title
Signature Date

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