FORM 1023-EZ for GOSHEN FOUNDATION INC

Field Data
EIN 84-2390740
Case Number EO-2019324-000316
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOSHEN FOUNDATION INC
Organization’s Mailing Address 416 ERICSON ST
City SOUTHAVEN
State MS
ZIP 38762
Accounting period End 12
Primary contact name JACORIUS LINER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LATONYA BRADLEY
PRESIDENT
416 ERICSON ST
SOUTHAVEN MS 38762

Officer/Director/Trustee Two

ZYNESHIA BENNETT
VICE PRESIDENT
416 ERICSON ST
SOUTHAVEN MS 38762

Officer/Director/Trustee Three

TAMARYEA SLAUGHTER
TREASURER
416 ERICSON ST
SOUTHAVEN MS 38762

Officer/Director/Trustee Four

ZIRA WILLIAMS
SECRETARY
416 ERICSON ST
SOUTHAVEN MS 38762

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/18/19
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R01 - Alliance/Advocacy Organizations
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LATONYA BRADLEY
Signature Title PRESIDENT
Signature Date 11/18/19

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