FORM 1023-EZ for R CLAY SIMMONS FOUNDATION FOR COMMUNITY AND ECONOMIC DEVELOPMENT

Field Data
EIN 64-0926967
Case Number EO-2018047-000140
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name R CLAY SIMMONS FOUNDATION FOR COMMUNITY AND ECONOMIC DEVELOPMENT
Organization’s Mailing Address 200 EAST MAIN STREET
City STARKVILLE
State MS
ZIP 39759
Accounting period End 9
Primary contact name SCOTT MAYNARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT MAYNARD
CEO
109 DOVER CT
STARKVILLE MS 39759

Officer/Director/Trustee Two

MICHELLE AMOS
CHAIRMAN OF BOARD
108 DOVER CT
STARKVILLE MS 39759

Officer/Director/Trustee Three

RICHARD HILTON
VICE-CHAIRMAN
103 APACHE DR
STARKVILLE MS 39759

Officer/Director/Trustee Four

STEVE LANGSTON
BOARD MEMBER
204 EAST MAIN STREET
STARKVILLE MS 39759

Officer/Director/Trustee Five

AMY TUCK
BOARD MEMBER
SUITE 4000 LEE HALL
MISS STATE MS 39762

Organization’s website N/A
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/97
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S03 - Professional Societies, Associations
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name SCOTT MAYNARD
Signature Title CEO
Signature Date 2/14/18

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