FORM 1023-EZ for A BETTER MISSSISSIPPI FOUNDATION

Field Data
EIN 84-2043102
Case Number EO-2019172-000125
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A BETTER MISSSISSIPPI FOUNDATION
Organization’s Mailing Address 306 BRANSCOME DRIVE
City GRENADA
State MS
ZIP 38901
Accounting period End 12
Primary contact name RAY SHOEMAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLOS MOORE
CEO
306 BRANSCOME DR
GRENADA MS 38901

Officer/Director/Trustee Two

RAY SHOEMAKER
COO
2533A MAIN STREET
PLANTERSVILLE MS 38862

Officer/Director/Trustee Three

JASON ANDERSON
EXECUTIVE DIRECTOR
306 BRANSCOME
GRENADA MS 38901

Officer/Director/Trustee Four

NA NA
NA
NA
NA NC 0

Officer/Director/Trustee Five

NA NA
NA
NA
NA NC 0

Organization’s website
Organization’s email RAY.SHOEMAKER@MEDADVO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/19
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S01 - 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RAY SHOEMAKER
Signature Title COO
Signature Date 6/18/19

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