FORM 1023-EZ for JACOB12 INC
| Field | Data |
|---|---|
| EIN | 83-1762102 |
| Case Number | EO-2021256-000673 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | JACOB12 INC |
| Organization’s Mailing Address | 5302 CARTWRIGHT AVE APT 7 |
| City | NORTH HOLLYWOOD |
| State | CA |
| ZIP | 91601-5473 |
| Accounting period End | 7 |
| Primary contact name | WILLIAM BRYAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
WILLIAM BRYAN
CEO
5302 CARTWRIGHT AVE APT 7
NORTH HOLLYWOOD CA 91601-5473
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/25/2018 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O50 - Youth Development Programs, Other |
| 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 | 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 | WILLIAM BRYAN |
| Signature Title | CEO |
| Signature Date | 9/11/2021 |
| EIN | 83-1762102 |
| Case Number | EO-2018284-000141 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | JACOB12 INC |
| Organization’s Mailing Address | 5302 CARTWRIGHT AVE SUITE 7 |
| City | NORTH HOLLYWOOD |
| State | CA |
| ZIP | 91601 |
| Accounting period End | 12 |
| Primary contact name | WILLIAM BRYAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
YAVID JOSEPH
BOARD MEMBER
28023 LINDA LANE
SANTA CLARITA CA 91350
Officer/Director/Trustee Two
ERIC HULL
BOARD MEMBER
1810 MORADA PL
ALTADENA CA 91001
Officer/Director/Trustee Three
JOHN KELLY
BOARD MEMBER
6130 RICKER RD
RALEIGH NC 27610
Officer/Director/Trustee Four
WILLIAM BRYAN
CEO
5302 CARTWRIGHT AVE SUITE 7
NORTH HOLLYWOOD CA 91601
Officer/Director/Trustee Five
BIANCA POINDEXTER
TREASURER
26520 NORTH CANARY CT
SANTA CLARITA CA 91351
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/25/18 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O99 - Youth Development N.E.C. |
| 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 | WILLIAM BRYAN |
| Signature Title | CEO |
| Signature Date | 10/9/18 |
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