FORM 1023-EZ for JIREH FOUNDATION INC

Field Data
EIN 85-1322022
Case Number EO-2021131-000106
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JIREH FOUNDATION INC
Organization’s Mailing Address 8043 NORTH SHORE DRIVE
City LINCOLN
State NE
ZIP 68516
Accounting period End 12
Primary contact name MICHELLE PERCELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT PERCELL JR
FOUNDER
8043 NORTH SHORE DRIVE
LINCOLN NE 68516

Officer/Director/Trustee Two

MICHELLE PERCELL
CO-FOUNDER & TREASURER
8043 NORTH SHORE DRIVE
LINCOLN NE 68516

Officer/Director/Trustee Three

JASMINE PERCELL
SECRETARY & EXEC DIR
8043 NORTH SHORE DRIVE
LINCOLN NE 68516

Officer/Director/Trustee Four

HYACINTH PERCELL
MANAGING DIRECTOR
8043 NORTH SHORE DRIVE
LINCOLN NE 68516

Organization’s website WWW.JIREH-LINEAGEFOUNDATION.ORG
Organization’s email MPERCELL.JAH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/2020
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 ROBERT PERCELL JR
Signature Title FOUNDER
Signature Date 5/7/2021

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