FORM 1023-EZ for FONDREN COVERED

Field Data
EIN 30-1222037
Case Number EO-2020045-000354
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FONDREN COVERED
Organization’s Mailing Address PO BOX 1039
City JACKSON
State MS
ZIP 39215
Accounting period End 12
Primary contact name GREG MCRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES WATTS
PRESIDENT/DIRECTOR
120 DISTRICT BLVD EAST APT 662
JACKSON MS 39211

Officer/Director/Trustee Two

CYNTHIA DECKER
SECRETARY/TREASURER/DIRECTOR
205 MEADOWVIEW LANE
BRANDON MS 39047

Officer/Director/Trustee Three

WALTON STRINGER
VICE PRESIDENT/DIRECTOR
542 LAKE CAVALIER ROAD
MADISON MS 39110

Officer/Director/Trustee Four

KIRK CARRAWAY
DIRECTOR
164 BAKER LANE
BRANDON MS 39047

Officer/Director/Trustee Five

WESLEY MOCKBEE
DIRECTOR
2336 TWIN LAKES CIRCLE
JACKSON MS 39211

Organization’s website WWW.COVERED-MUSIC.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/2019
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T99 - Philanthropy, Voluntarism, and Grantmaking Foundations 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 CHARLES WATTS
Signature Title PRESIDENT/DIRECTOR
Signature Date 2/12/2020

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