FORM 1023-EZ for JLA FOUNDATION

Field Data
EIN 47-2143848
Case Number EO-2014297-000640
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JLA FOUNDATION
Organization’s Mailing Address PO BOX 520
City PENROSE
State CO
ZIP 81240-0520
Accounting period End 12
Primary contact name PAMELA DUNOVSKY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAMELA DUNOVSKY
PRESIDENT
PO BOX 520
PENROSE CO 81240-0520

Officer/Director/Trustee Two

MICHELLE MYERS
SECRETARY
PO BOX 671818
CHUGIAK AK 99567-1818

Officer/Director/Trustee Three

MONIKA SWIFT
TREASURER
3500 COUNTY ROAD 132
PENROSE CO 81240-9147

Organization’s website
Organization’s email SKYBLUERANCH@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/2014
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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