FORM 1023-EZ for JACKSON JOHNSON ASSOCIATES INC

Field Data
EIN 90-0141540
Case Number EO-2015140-000301
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JACKSON JOHNSON ASSOCIATES INC
Organization’s Mailing Address 3423 GILMER COURT SUITE 1
City MONTGOMERY
State AL
ZIP 36105
Accounting period End 12
Primary contact name TERESA JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALICE CANNON
BOARD MEMBER
1536 FIELDGREEN TRACE
STONE MOUNTAIN GA 30088

Officer/Director/Trustee Two

DEMETRIA JETT CLEMONS
BOARD MEMBER
812 WINDWARD LANE
TALLAHASSEE FL 32305

Officer/Director/Trustee Three

TERESA JACKSON
EXECUTIVE DIRECTOR/BOARD MEMBER
3423 GILMER COURT SUITE 1
MONTGOMERY AL 36105

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/2004
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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