FORM 1023-EZ for MICAH S WALK FOR AUTISM

Field Data
EIN 81-4585202
Case Number EO-2020224-000192
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MICAH S WALK FOR AUTISM
Organization’s Mailing Address 151 JORN CIRCLE
City CANTON
State MS
ZIP 39046
Accounting period End 8
Primary contact name CHRISTE FORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTE FORD
PRESIDENT
151 JORN CIRCLE
CANTON MS 39046

Officer/Director/Trustee Two

JACOB FORD
SECRETARY
6121 WILLIS WAY CIRCLE S
WALLS MS 38680

Officer/Director/Trustee Three

DARIUS FORD
TREASURER
3103 MT MORIAH TRAIL APT 3
MEMPHIS TN 38115

Officer/Director/Trustee Four

ACACIA MCBRIDE
EXECUTIVE DIRECTOR
140 MCBRIDE STREET
MABEN MS 39750

Organization’s website
Organization’s email MICAHSWALK4AUTISM@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/2018
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHRISTE FORD
Signature Title PRESIDENT
Signature Date 8/6/2020

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