FORM 1023-EZ for SSGT JASON A ROGERS MEMORIAL FOUNDATION
| Field | Data |
|---|---|
| EIN | 84-2415145 |
| Case Number | EO-2019214-000098 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SSGT JASON A ROGERS MEMORIAL FOUNDATION |
| Organization’s Mailing Address | 61 TERRAPIN DRIVE |
| City | BRANDON |
| State | MS |
| ZIP | 39042 |
| Accounting period End | 12 |
| Primary contact name | JENNIFER SMITH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JENNIFER SMITH
PRESIDENT
61 TERRAPIN DRIVE
BRANDON MS 39042
Officer/Director/Trustee Two
BRAD BYNUM
VICE PRESIDENT
1135 CHICKADEE LOOP
FAIRBANKS AK 97712
Officer/Director/Trustee Three
WILLIAM SMITH
CHIEF FINANCIAL OFFICER
61 TERRAPIN DRIVE
BRANDON MS 39042
Officer/Director/Trustee Four
LEIGH ELLEN SMITH
SECRETARY
169 TREBING PARKWAY
ATOKA TN 38004
Officer/Director/Trustee Five
DERRICK BROWNLEE
BOARD MEMBER
319 KINGS RIDGE CIRCLE
BRANDON MS 39042
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/16/19 |
| Organization Incorporation State | MS |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P12 - Fund Raising and/or Fund Distribution |
| 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 | JENNIFER SMITH |
| Signature Title | PRESIDENT |
| Signature Date | 7/31/19 |
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