FORM 1023-EZ for JEPHIS FOUNDATION CORP

Field Data
EIN 85-3726889
Case Number EO-2021054-000249
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JEPHIS FOUNDATION CORP
Organization’s Mailing Address 110 ST ANN ST
City DALLAS
State GA
ZIP 30157
Accounting period End 12
Primary contact name FRITZ PHILISTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRITZ PHILISTIN
CEO
110 ST ANN ST
DALLAS GA 30157

Officer/Director/Trustee Two

GUERLINE PHILISTIN
SECRETARY
110 ST ANN ST
DALLAS GA 30157

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/2020
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: 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 No
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 FRITZ PHILISTIN
Signature Title CEO
Signature Date 12/23/2020

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