FORM 1023-EZ for JACQUELINE RODGERS FOUNDATION INC

Field Data
EIN 82-1460328
Case Number EO-2017233-000295
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JACQUELINE RODGERS FOUNDATION INC
Organization’s Mailing Address 892 BROOKLINE DRIVE
City MYRTLE BEACH
State SC
ZIP 29579-9505
Accounting period End 12
Primary contact name KIM RODGERS-CLORA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIM RODGERS-CLORA
PRESIDENT/TREASURER
892 BROOKLINE DRIVE
MYRTLE BEACH SC 29579-9505

Officer/Director/Trustee Two

JOY CLARK
VICE-PRESIDENT
3517 ALABAMA ROAD
VIRGINIA BEACH VA 23452-7461

Officer/Director/Trustee Three

RENEE WALTER-ANDREWS
SECRETARY
101 ASHTON CIRCLE
MYRTLE BEACH SC 29588

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2017
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 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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