FORM 1023-EZ for JORDAN MIRANDA MEMORIAL FOUNDATION

Field Data
EIN 81-3044722
Case Number EO-2016364-000127
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JORDAN MIRANDA MEMORIAL FOUNDATION
Organization’s Mailing Address PO BOX 1046
City FAIRPLAY
State CO
ZIP 80440
Accounting period End 12
Primary contact name HERBERT C PHILLIPS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBIN PHILLIPS
PRESIDENT
675 MAIN STREET
FAIRPLAY CO 80440

Officer/Director/Trustee Two

MADISON MIRANDA
VICE PRESIDENT
675 MAIN STREET
FAIRPLAY CO 80440

Officer/Director/Trustee Three

HERBERT PHILLIPS
SECRETARY/TREASURER
675 MAIN STREET
FAIRPLAY CO 80440

Organization’s website WWW.JORDANMIRANDAFOUNDATION.COM
Organization’s email JMMEMORIALFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/2016
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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