FORM 1023-EZ for MIKELL FOUNDATION

Field Data
EIN 84-1939184
Case Number EO-2019164-000160
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIKELL FOUNDATION
Organization’s Mailing Address 6506 LYNDON B JOHNSON DRIVE
City JACKSON
State MS
ZIP 39212
Accounting period End 12
Primary contact name SHEILA B WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHEILA WILLIAMS
DIRECTOR
PO BOX 505
MONTICELLO MS 39654

Officer/Director/Trustee Two

AUDRIA SMITH
SECRETARY
6506 LYNDON B JOHNSON
JACKSON MS 39212

Officer/Director/Trustee Three

DENNIS WILLIAMS WILLIAMS
CONSULTANT
1923 WEEKS LAND
BROOKHAVEN MS 39601

Officer/Director/Trustee Four

ANDRIA HAYNES
TREASURE
12 BRIDGEFIELD CIR
HATTIESBURG MS 39402

Officer/Director/Trustee Five

DEMETRIUS WILLIAMS
BOARD MEMBER
1328 PARKLAND RD
MCCOMB MS 39648

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/19
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 SHEILA WILLIAMS
Signature Title DIRECTOR
Signature Date 6/11/19

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