FORM 1023-EZ for JANIES DOLLYS FOR RECOVERY

Field Data
EIN 82-1750754
Case Number EO-2021230-000248
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JANIES DOLLYS FOR RECOVERY
Organization’s Mailing Address 16 HILLCREST DR
City KIMBERLING CITY
State MO
ZIP 65686-9705
Accounting period End 5
Primary contact name NINA FOURNIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NINA FOURNIER
CHIEF DISTR OFFICER
16 HILLCREST DR
KIMBERLING CITY MO 65686

Organization’s website JANIESDOLLYSFORRECOVERY.COM
Organization’s email FOURNIER@MCHSI.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/2017
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NINA FOURNIER
Signature Title CHIEF DISTR OFFICER
Signature Date 8/16/2021
EIN 82-1750754
Case Number EO-2017167-000160
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JANIES DOLLYS FOR RECOVERY
Organization’s Mailing Address 16 HILLCREST DRIVE
City KIMBERLING CITY
State MO
ZIP 65686-9705
Accounting period End 5
Primary contact name NINA FOURNIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NINA FOURNIER
CHIEF DISTRIBUTION OFFICER
16 HILLCREST DRIVE
KIMBERLING CITY MO 65686-9705

Officer/Director/Trustee Two

ALBERT FOURNIER
CHAIRMAN OF BOARD
16 HILLCREST DRIVE
KIMBERLING CITY MO 65686-9705

Officer/Director/Trustee Three

CINDY SUELTER
BOARD MEMBER
PO BOX 372
KIMBERLING CITY MO 65686-9705

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/2017
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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
Signature Title
Signature Date

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