FORM 1023-EZ for SOUTHWEST MISSISSIPPI ROBOTICS INC

Field Data
EIN 47-4961056
Case Number EO-2015336-000307
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHWEST MISSISSIPPI ROBOTICS INC
Organization’s Mailing Address 1062 GOLF LANE
City SUMMIT
State MS
ZIP 39666
Accounting period End 12
Primary contact name LOLA HOLIFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT W HOLIFIELD
DIRECTOR
1062 GOLF LANE
SUMMIT MS 39666

Officer/Director/Trustee Two

LOLA M HOLIFIELD
TREASURER
1062 GOLF LANE
SUMMIT MS 39666

Officer/Director/Trustee Three

LYNN MCINNIS
SECRETARY
1005 LONG LEAF ROAD
MCCOMB MS 39648

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/2015
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
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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