FORM 1023-EZ for JILLIANS JOY BOX INC

Field Data
EIN 46-4022528
Case Number EO-2014246-000290
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JILLIANS JOY BOX INC
Organization’s Mailing Address 2985 TUSCALOOSA
City LEXINGTON
State KY
ZIP 40515
Accounting period End 12
Primary contact name SUSAN LACY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARIA ROSA BERWEILER
PRESIDENT
2985 TUSCALOOSA
LEXINGTON KY 40515

Officer/Director/Trustee Two

PATRICIA KELSEY
SEC/TREASURER
1060 RAMBLEWOOD WAY
LEXINGTON KY 40509

Officer/Director/Trustee Three

NICHOLAS BERWEILER
DIRECTOR
2985 TUSCALOOSA
LEXINGTON KY 40515

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/2013
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L99 - Housing, Shelter N.E.C.
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 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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