FORM 1023-EZ for JADYN MARLEY FOUNDATION INC

Field Data
EIN 47-4314533
Case Number EO-2015175-000282
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JADYN MARLEY FOUNDATION INC
Organization’s Mailing Address 167 SPRINGFIELD ROAD
City SOMERS
State CT
ZIP 06071
Accounting period End 12
Primary contact name SPENCER A STONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JONATHAN R FEIGENBAUM
PRESIDENT AND DIRECTOR
167 SPRINGFIELD ROAD
SOMERS CT 06071

Officer/Director/Trustee Two

JENNIFER D FEIGENBAUM
SECRETARY AND DIRECTOR
167 SPRINGFIELD ROAD
SOMERS CT 06071

Officer/Director/Trustee Three

TOD OBRIEN
TREASURER AND DIRECTOR
951 STONY HILL ROAD
WILBRAHAM MA 01095

Officer/Director/Trustee Four

AMY AVERY
DIRECTOR
45 SCULLY ROAD
SOMERS CT 06071

Officer/Director/Trustee Five

ERIN OBRIEN
DIRECTOR
951 STONY HILL ROAD
WILBRAHAM MA 01095

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/2015
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund Distribution
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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