FORM 1023-EZ for K9 JAGER MEMORIAL ASSOCIATION

Field Data
EIN 81-5049355
Case Number EO-2017033-000212
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name K9 JAGER MEMORIAL ASSOCIATION
Organization’s Mailing Address 2974 PARK ST W
City PETERSBURG
State VA
ZIP 23805
Accounting period End 12
Primary contact name JOHN STAMPER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN STAMPER
BOARD CHAIR
2974 PARK ST W
PETERSBURG VA 23805

Officer/Director/Trustee Two

JENNIFER KRISTIANSEN
VICE-CHAIR
711 LAFAYETTE AVE
COLONIAL HEIGHTS VA 23834

Officer/Director/Trustee Three

JACKY EDMONDS
TREASURER
939 WEST HIGH ST
PETERSBURG VA 23803

Officer/Director/Trustee Four

JACKIE LEE
SECRETARY
108 LAFAYETTE AVE
COLONIAL HEIGHTS VA 23834

Organization’s website
Organization’s email K9JAGERMA@GMIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/2017
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
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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