FORM 1023-EZ for JBCARE FOUNDATION INCORPORATED

Field Data
EIN 86-2294304
Case Number EO-2021116-000498
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JBCARE FOUNDATION INCORPORATED
Organization’s Mailing Address 475 CAROLTON AVENUE APT 3G
City BROOKLYN
State NY
ZIP 11238
Accounting period End 2
Primary contact name CARRIE D PETERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARRIE D PETERSON
CHIEF OPERATING OFFICER
475 CAROLTON AVENUE APT 3G
BROOKLYN NY 11238

Officer/Director/Trustee Two

SHANIA MURRAY
DIRECTOR
81 NORTH PORTLAND AVE APT 12F
BROOKLYN NY 11205

Officer/Director/Trustee Three

DIOGENES SPINOLIO
DIRECTOR
475 CAROLTON AVENUE APT 7E
BROOKLYN NY 11238

Organization’s website
Organization’s email CDPETERSON@JBCAREFOUND.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CARRIE D PETERSON
Signature Title CHIEF OPERATING OFFICER
Signature Date 4/23/2021

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