FORM 1023-EZ for SHALOM BUNDLE OF JOY INC

Field Data
EIN 82-2356042
Case Number EO-2017216-000235
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHALOM BUNDLE OF JOY INC
Organization’s Mailing Address 343 SMITH AVENUE
City CANTON
State MS
ZIP 39046
Accounting period End 12
Primary contact name ROCHELLE FIELDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAMIE BENNETT
VICE PRESIDENT
6150 FERNCREEK DR
JACKSON MS 39211

Officer/Director/Trustee Two

MICHELLE RODGERS
PRESIDENT
2407 POWERS AVE
JACKSON MS 39213

Officer/Director/Trustee Three

RACHELLE STEWART
SECRETARY
945A GLASTONBURY CIRCLE
RIDGELAND MS 39157

Officer/Director/Trustee Four

SHULUNDRIA HALEY
TREASURER
195 BELLEGROVE CIRCLE
BRANDON MS 39047

Officer/Director/Trustee Five

ROCHELLE FIELDS
EXECUTIVE DIRECTOR
1273 HYW 43 SOUTH
CANTON MS 39046

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/2017
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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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