FORM 1023-EZ for THE JBR FOUNDATION

Field Data
EIN 83-3090485
Case Number EO-2019038-000967
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE JBR FOUNDATION
Organization’s Mailing Address 1001 E LINDEN DRIVE
City MT PLEASANT
State IA
ZIP 52641
Accounting period End 12
Primary contact name JENNIFER STARR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER STARR
PRESIDENT
1001 E LINDEN DRIVE
MT PLEASANT IA 52641

Officer/Director/Trustee Two

CHAD ROBBINS
VICE-PRESIDENT
1461 GOLF CLUB DRIVE
LANTANA TX 76226

Officer/Director/Trustee Three

CHARLOTTE SHAFER
SECRETARY
100 W WASHINGTON STREET
BIGGSVILLE IL 61418

Organization’s website WWW.JBR-FOUNDATION.ORG
Organization’s email INFO@JBR-FOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/18
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
Organization’s purpose Charitable: Yes
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JENNIFER STARR
Signature Title PRESIDENT
Signature Date 1/25/19

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