FORM 1023-EZ for PSI BETA ZETA PRECIOUS PEARLS FOUNDATION

Field Data
EIN 47-3791122
Case Number EO-2015114-000243
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PSI BETA ZETA PRECIOUS PEARLS FOUNDATION
Organization’s Mailing Address PO BOX 442
City SOUTHAVEN
State MS
ZIP 38671
Accounting period End 10
Primary contact name NEFFIE GATEWOOD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NEFFIE GATEWOOD
DIRECTOR/CHAIR
515 W WOODWARD AVE
HOLLY SPRINGS MS 38635

Officer/Director/Trustee Two

RUBY DARBANDI
CO-CHAIR
2632 PINTAIL DRIVE
HORN LAKE MS 38637

Officer/Director/Trustee Three

ELOIS NICHOLSON
TREASURER
7535 AYLESBURY LANE
OLIVE BRANCH MS 38654

Officer/Director/Trustee Four

PATRICIA WASHINGTON
SECRETARY
1816 CRESENT LANE
SOUTHAVEN MS 38671

Officer/Director/Trustee Five

CALANDRA JONES HOWARD
TRUSTEE
780 SADDLE CREEK COVE
HERNANDO MS 38632

Organization’s website
Organization’s email STORKSNEST.PBZ@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/2015
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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
Signature Title
Signature Date

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