FORM 1023-EZ for JACOBS MAASAI WELL INC

Field Data
EIN 82-2018108
Case Number EO-2017184-000192
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JACOBS MAASAI WELL INC
Organization’s Mailing Address 13204 CORTE DE CHAMISAL
City SALINAS
State CA
ZIP 93908
Accounting period End 12
Primary contact name JOSEPH BUCKALEW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LESLIE BUCKALEW
PRESIDENT
13204 CORTE DE CHAMISAL
SALINAS CA 93908

Officer/Director/Trustee Two

BRITTANY HENRICKS
SECRETARY
137 FRIZZEL
FORT LEONARD WOOD MO 65473

Officer/Director/Trustee Three

JOSEPH BUCKALEW
TREASURER
13204 CORTE DE CHAMISAL
SALINAS CA 93908

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/29/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C32 - Water Resource, Wetlands Conservation and Management
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 Yes
Conducting Activities Outside of United States Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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