FORM 1023-EZ for JACOBS HOUSE OF COMMUNITY DEVELOPMENT CORP

Field Data
EIN 82-1043700
Case Number EO-2018178-000284
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACOBS HOUSE OF COMMUNITY DEVELOPMENT CORP
Organization’s Mailing Address 5447 SHOLTZ ST
City NAPLES
State FL
ZIP 34113
Accounting period End 12
Primary contact name ANIA LOUIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANIA LOUIS
PRESIDENT, DIRECTOR
5447 SHOLTZ ST
NAPLES FL 34113

Officer/Director/Trustee Two

FLORENE HUBERT
SECRETARY, DIRECTOR
5447 SHOLTZ ST
NAPLES FL 34113

Officer/Director/Trustee Three

MARJORIE LAGUERRE
TREASURER, DIRECTOR
5447 SHOLTZ ST
NAPLES FL 34113

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 ANIA LOUIS
Signature Title PRESIDENT, DIRECTOR
Signature Date 6/25/18

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