FORM 1023-EZ for JAKE ROGERS MEMORIAL FOUNDATION

Field Data
EIN 22-3667256
Case Number EO-2014302-000097
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JAKE ROGERS MEMORIAL FOUNDATION
Organization’s Mailing Address 416 AVONDALE
City HADDONFIELD
State NJ
ZIP 08033-2180
Accounting period End 12
Primary contact name KENNETH ROGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KENNETH ROGERS
PRESIDENT
416 AVONDALE AVENUE
HADDONFIELD NJ 08033-2180

Officer/Director/Trustee Two

JUDITH ROGERS
CO-PRESIDENT
416 AVONDALE AVENUE
HADDONFIELD NJ 08033-2180

Officer/Director/Trustee Three

J KENNETH HARRIS
DIRECTOR
45 WARWAICK ROAD
HADDONFIELD NJ 08033

Officer/Director/Trustee Four

CLYTON EBLING
DIRECTOR
145 LANSDOWNE AVENUE
HADDONFIELD NJ 08033

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/1999
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - Single Organization Support
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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