FORM 1023-EZ for FAMILY TIES OF JACKSON COUNTY

Field Data
EIN 84-4878320
Case Number EO-2021096-001049
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAMILY TIES OF JACKSON COUNTY
Organization’s Mailing Address 822 SELLERS DRIVE
City JACKSON
State OH
ZIP 45640-2059
Accounting period End 12
Primary contact name DON JENKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAYLA KINCAID
PRESIDENT
635 PLEASANT GROVE RD
JACKSON OH 45640-2059

Officer/Director/Trustee Two

BRANDI SEARLES
VICE-PRESIDENT
909 GRIMSLEY POOR RD
JACKSON OH 45640-2059

Officer/Director/Trustee Three

JERRICA SHELTON
TREASURER
3 GRANDVIEW AVE
JACKSON OH 45640-2059

Officer/Director/Trustee Four

MELISSA SOWERS
SECRETARY
40 SOUTH BENNETT AVE
JACKSON OH 45640-2059

Officer/Director/Trustee Five

DON JENKINS
STATUTORY AGENT
822 SELLERS DRIVE
JACKSON OH 45640-2059

Organization’s website
Organization’s email DJENKINS@JCBDD.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/2019
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 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 DON JENKINS
Signature Title STATUTORY AGENT
Signature Date 3/11/2021

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