FORM 1023-EZ for THE JACQUELINE SMITH FOUNDATION

Field Data
EIN 84-3744613
Case Number EO-2019329-000371
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE JACQUELINE SMITH FOUNDATION
Organization’s Mailing Address 8850 BROADWAY ST
City SAN ANTONIO
State TX
ZIP 78217
Accounting period End 12
Primary contact name JACQUELINE SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACQUELINE SMITH
PRESIDENT
P O BOX 17401
SAN ANTONIO TX 78217

Officer/Director/Trustee Two

DEAUNTE WATKINS
TREASURER
P O BOX 17401
SAN ANTONIO TX 78217

Officer/Director/Trustee Three

DIONNE PENNS
SECRETARY
P O BOX 17401
SAN ANTONIO TX 78217

Organization’s website THEJSMITHFOUNDATION.ORG
Organization’s email THEJSMITHFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 JACQUELINE SMITH
Signature Title PRESIDENT
Signature Date 11/21/19

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