FORM 1023-EZ for JAC FOUNDATION

Field Data
EIN 82-3765780
Case Number EO-2018051-000178
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JAC FOUNDATION
Organization’s Mailing Address PO BOX 661
City STIGLER
State OK
ZIP 74462
Accounting period End 12
Primary contact name AMBER DILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMBER DILL
PRESIDENT
PO BOX 661
STIGLER OK 74462

Officer/Director/Trustee Two

JENNY WILSON
VICE PRESIDENT
30749 W COOPER BEND ROAD
KINTA OK 74552

Officer/Director/Trustee Three

CHRIS JORDAN
MEMBER
PO BOX 599
STIGLER OK 74462

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/18
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 AMBER DILL
Signature Title PRESIDENT
Signature Date 2/15/18

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