FORM 1023-EZ for NINETY ONE ABBEY LANE

Field Data
EIN 85-3850158
Case Number EO-2020321-000136
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NINETY ONE ABBEY LANE
Organization’s Mailing Address 1042 COUNTRY CLUB RD
City MCCOMB
State MS
ZIP 39648
Accounting period End 12
Primary contact name CAMILLE SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROCHELLE FRAZIER
EXECUTIVE DIRECTOR
1042 COUNTRY CLUB RD
MCCOMB MS 39648

Officer/Director/Trustee Two

HOLLAND HARKINS
DIRECTOR
27 LAKE FORGETFUL APT 927
HATTIESBURG MS 39402

Officer/Director/Trustee Three

ANTOINETTE SANDS
DIRECTOR
5660 REX LAKE CIRCLE
LEEDS AL 35094

Organization’s website
Organization’s email NINETYONEABBEYLANE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/2020
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROCHELLE FRAZIER
Signature Title EXECUTIVE DIRECTOR
Signature Date 11/11/2020

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