FORM 1023-EZ for JACKSON ARTS NETWORK JAXAN

Field Data
EIN 81-4810843
Case Number EO-2017044-000306
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JACKSON ARTS NETWORK JAXAN
Organization’s Mailing Address 218 S MECHANIC ST
City JACKSON
State MI
ZIP 49201
Accounting period End 5
Primary contact name MARJORY MINIX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARJORY MINIX
DIRECTOR
783 WHITE LAKE ROAD
PLEASANT LAKE MI 49272

Officer/Director/Trustee Two

GARY MINIX
DIRECTOR
783 WHITE LAKE ROAD
PLEASANT LAKE MI 49272

Officer/Director/Trustee Three

STEPHEN MATHER
DIRECTOR
218 S MECHANIC STREET
JACKSON MI 49201

Organization’s website
Organization’s email JAXAN517@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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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