FORM 1023-EZ for MID SOUTH CULINARY ALLIANCE INC

Field Data
EIN 81-0786604
Case Number EO-2018152-000197
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MID SOUTH CULINARY ALLIANCE INC
Organization’s Mailing Address 10378 LOFTIN DRIVE
City OLIVE BRANCH
State MS
ZIP 38654
Accounting period End 12
Primary contact name ERNEST DICKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERNEST DICKSON
CHIEF EXECUTIVE OFFICER
10378 LOFTIN DRIVE
OLIVE BRANCH MS 38654

Officer/Director/Trustee Two

QUAN ANDERSON
BOARD MEMBER
1996 BROWNSFORD LANE
CORDOVA TN 38016

Officer/Director/Trustee Three

TERRY BARBOUR
BOARD MEMBER
147 ARCHSTONE DRIVE
CORDOVA TN 38016

Officer/Director/Trustee Four

ANDREA MOORE
SERGEANT AT ARMS
5477 SWEETWATER LANE
BARTLETT TN 38135

Officer/Director/Trustee Five

TRACY PRINCE-SMITH
PRESIDENT
7681 BROKEN HICKORY DRIVE
WALLS MS 38680

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/17
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
Organization’s purpose Charitable: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ERNEST DICKSON
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 5/30/18

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