FORM 1023-EZ for THE JESUS CLUB INC

Field Data
EIN 86-3243144
Case Number EO-2021109-000635
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE JESUS CLUB INC
Organization’s Mailing Address 5813 COUNTRY MANOR TERRACE
City NORTH CHESTERFIELD
State VA
ZIP 23234
Accounting period End 12
Primary contact name ANN MARIE HYATT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANN MARIE HYATT
OFFICER
5813 COUNTRY MANOR TERRACE
NORTH CHESTERFIELD VA 23234

Officer/Director/Trustee Two

PANDORA BRAZEAU
OFFICER
10730 KEITHWOOD PKWY
N CHESTERFIELD VA 23238

Officer/Director/Trustee Three

MICHELE BURROW
OFFICER
6000 MIDDLEFIELD LN
CHESTERFIELD VA 23225

Officer/Director/Trustee Four

JOMALLAH DORREL
SECRETARY
7425 ELKHARDT RD
RICHMOND VA 23234

Organization’s website
Organization’s email annhyatt@verizon.net
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/12/2021
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X90 - Interfaith Issues
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 Yes
Donation of funds Yes
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 ANN MARIE HYATT
Signature Title OFFICER
Signature Date 4/16/2021

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