FORM 1023-EZ for JORDANS JOY

Field Data
EIN 46-3114127
Case Number EO-2015036-000210
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JORDANS JOY
Organization’s Mailing Address 4321 EAST 60TH STREET
City DAVENPORT
State IA
ZIP 52807
Accounting period End 6
Primary contact name ROB EDEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TODD VERSHAW
PRESIDENT
4321 EAST 60TH STREET
DAVENPORT IA 52807

Officer/Director/Trustee Two

ROB EDEL
TREASURER
4321 EAST 60TH STREET
DAVENPORT IA 52807

Organization’s website JORDANSJOY.ORG
Organization’s email JORDANSJOY@MUTUALMED.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2013
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 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 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
Signature Title
Signature Date

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