FORM 1023-EZ for JSH4 MEMORIAL FUND INCORPORATED

Field Data
EIN 82-5340933
Case Number EO-2018227-000244
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JSH4 MEMORIAL FUND INCORPORATED
Organization’s Mailing Address 680 STONEHAVEN DRIVE
City SUN PRAIRIE
State WI
ZIP 53590
Accounting period End 12
Primary contact name JOHN HADLEY OR PAUL HADLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN HADLEY
DIRECTOR
680 STONEHAVEN DR
SUN PRAIRIE WI 53590

Officer/Director/Trustee Two

PAUL HADLEY
DIRECTOR
626 S HOLIDAY RD
GREENACRES WA 99016

Officer/Director/Trustee Three

TOM HADLEY
DIRECTOR
7574 S ANVIL HORN
LITTLETON CO 80127

Officer/Director/Trustee Four

JUDEE HADLEY
DIRECTOR
501 N ROADRUNNER PARKWAY
LAS CRUCES NM 88011

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: Yes
Amateur Sports: Yes
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 Yes
Gaming Activity Yes
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 PAUL HADLEY
Signature Title DIRECTOR
Signature Date 8/13/18

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