FORM 1023-EZ for JACKSON COMMUNITY COVID RESPONSE

Field Data
EIN 85-1909746
Case Number EO-2020321-000593
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACKSON COMMUNITY COVID RESPONSE
Organization’s Mailing Address 1305 MANNSDALE ROAD
City MADISON
State MS
ZIP 39110
Accounting period End 7
Primary contact name FELICITAS KOLLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXA ENGEL
PRESIDENT
4820 NORTH HAMPTON DRIVE
JACKSON MS 39211

Officer/Director/Trustee Two

LUCI MAKAMSON
TREASURER
715 RICE ROAD APT 3F
RIDGELAND MS 39157

Officer/Director/Trustee Three

FELICITAS KOLLER
FACULTY ADVISOR
1305 MANNSDALE ROAD
MADISON MS 39110

Officer/Director/Trustee Four

YASMEEN ABDO
VICE PRESIDENT
116 WOODBURY PARK PLACE
MADISON MS 39110

Officer/Director/Trustee Five

JENNY ODGEN
BOARD MEMBER
4228 NORTH HONEYSUCKLE LANE
JACKSON MS 39211

Organization’s website WWW.JACKSONCOMMUNITYCOVIDRESPONSE.COM
Organization’s email JACKSONCOMMUNITYCOVIDRESPONSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2020
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K40 - Nutrition Programs
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 LUCI MAKAMSON
Signature Title TREASURER
Signature Date 11/12/2020

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