SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2016
Open to Public
Inspection
Name of the organization
JAKE'S PLACE INC
DBA BUILD JAKE'S PLACE
Employer identification number

26-1608282
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 2 SOME OF THE MEMBERS OF THE BOARD ARE RELATED, HOWEVER THERE ARE NO BUSINESS DEALINGS BETWEEN MEMBERS OR WITH THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B A DRAFT COPY OF THE FORM 990 IS PROVIDED FOR REVIEW TO ALL BOARD MEMBERS THAT WOULD LIKE TO REVIEW AND COMMENT ON THE DRAFT. THE TREASURER GIVES FINAL APPROVAL OF THE FORM AFTER ALL COMMENTS HAVE BEEN MADE.
FORM 990, PART VI, SECTION B, LINE 12C AS A MATTER OF POLICY, THE BOARD DOES NO BUSINESS WITH ANY OF ITS MEMBERS OR THEIR FAMILIES AND NONE OF THE VENDORS USED BY THE ORGANIZATION HAVE PERSONAL TIES TO ANY MEMBER OF THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON THE RECEIPT OF A WRITTEN REQUEST BY THE INQUIRING INDIVIDUAL OR ORGANIZATION.
FORM 990, PART IX, LINE 11G ADMINISTRATIVE SUPPORT SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 21,795. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,795.
FORM 990, PART XI, LINE 9: TEMPORARILY RESTRICTED NET ASSETS -34,894.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2016


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