FORM 1023-EZ for JAYLEN BARKER FOUNDATION

Field Data
EIN 84-2266624
Case Number EO-2019310-000037
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JAYLEN BARKER FOUNDATION
Organization’s Mailing Address PO BOX 1253
City COLUMBUS
State MS
ZIP 39703
Accounting period End 12
Primary contact name MALAIKA CANADA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MALAIKA CANADA
FOUNDER/CHAIRMAN/PRESIDENT/C.E.O.
631 16TH TERRACE NW
CENTERPOINT AL 35215

Officer/Director/Trustee Two

CINDO CANADA
VICE-PRESIDENT
631 16TH TERRACE NW
CENTERPOINT AL 35215

Officer/Director/Trustee Three

HENRY DISMUKE
TREASURER
2200 24TH STREET N
COLUMBUS MS 39701

Officer/Director/Trustee Four

SURENELL MCCRARY
SECRETARY
2819 HWY 69 SOUTH
COLUMBUS MS 39702

Organization’s website WWW.JAYLENBARKERFOUNDATION.COM
Organization’s email JAYPENBARKERFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/2019
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I50 - Administration of Justice, Courts
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 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 MALAIKA CANADA
Signature Title FOUNDER/CHAIRMAN/PRESIDENT/C.E.O.
Signature Date 11/4/2019

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