FORM 1023-EZ for JAY JAYS WRONGFUL DEATH LEGACY FOUNDATION INC

Field Data
EIN 47-2460312
Case Number EO-2014342-000410
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JAY JAYS WRONGFUL DEATH LEGACY FOUNDATION INC
Organization’s Mailing Address 6652 HEATHROW LANE
City STONE MOUNTAIN
State GA
ZIP 30087
Accounting period End 12
Primary contact name DONNA CARTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DONNA CARTER
DIRECTOR
P O BOX 1824
STONE MOUNTAIN GA 30086

Officer/Director/Trustee Two

LASHONDA SANDERS
OFFICER
3920 41ST
VERO BEACH FL 32967

Officer/Director/Trustee Three

ROBERT JENNINGS JR
OFFICER
5403 WESLEY STONE CREST CIRCLE
LITHONIA GA 30038

Officer/Director/Trustee Four

SAVANA BRISTOL
TRUSTEE
1846 GLADE VIEW PARK WAY
STONE MOUNTAIN GA 30083

Officer/Director/Trustee Five

SYLVESTER BRISTOL SR
TRUSTEE
2056 42ND PL
VERO BEACH FL 32967

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I01 - Alliance/Advocacy Organizations
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 Yes
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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