FORM 1023-EZ for THE MATT JENSEN FOUNDATION

Field Data
EIN 84-4188607
Case Number EO-2020036-000400
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE MATT JENSEN FOUNDATION
Organization’s Mailing Address 545 W ARROYO ST
City RENO
State NV
ZIP 89509
Accounting period End 12
Primary contact name MICHAEL CALTAGIRONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL CALTAGIRONE
PRESIDENT
545 W ARROYO ST
RENO NV 89509

Officer/Director/Trustee Two

SHANNON JENSEN
SECRETARY/TREASURER
1500 PEAVINE DR
RENO NV 89503

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/2020
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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 MICHAEL CALTAGIRONE
Signature Title PRESIDENT
Signature Date 2/3/2020

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