FORM 1023-EZ for HISTORIC MOUND PRAIRIE CEMETERIES PRESERVATION SOCIETY

Field Data
EIN 38-4117784
Case Number EO-2019207-000348
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HISTORIC MOUND PRAIRIE CEMETERIES PRESERVATION SOCIETY
Organization’s Mailing Address 1338 SOUTH MINE STREET
City NASHVILLE
State AR
ZIP 71852
Accounting period End 12
Primary contact name JIM JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHNNY WILSON
DIRECTOR
1338 SOUTH MINE STREET
NASHVILLE AR 71852

Officer/Director/Trustee Two

SANDRA DAILEY
DIRECTOR
2213 LAKE COUNTRY DRIVE
WEATHERFORD TX 76087

Officer/Director/Trustee Three

KENNETH JOHNSON
DIRECTOR
12101 NORTH ROOTH ROAD
MCALLEN TX 78504

Officer/Director/Trustee Four

LYNN ASHBY
DIRECTOR
3902 EAST CAMPBELL
PHOENIX AR 85018

Officer/Director/Trustee Five

JIM JACKSON
DIRECTOR
58 CARMEL DRIVE
LITTLE ROCK AR 72114

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/19
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y50 - Cemeteries, Burial Services
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 JIM JACKSON
Signature Title DIRECTOR
Signature Date 7/24/19

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