FORM 1023-EZ for MISSISSIPPI AFFORDABLE TRANSPORT &HEALTH SERVICES

Field	Data
EIN	46-5456087
Case Number	EO-2019219-000262
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	MISSISSIPPI AFFORDABLE TRANSPORT &HEALTH SERVICES
Organization’s Mailing Address	840 EAST RIVER PLACE SUITE 605
City	JACKSON
State	MS
ZIP	39202
Accounting period End	12
Primary contact name	WILLIE JONES
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00

Officer/Director/Trustee One

WILLIE JONES
PRESIDENT
618 SPRYFIELD ROAD
JACKSON MS 39212

Officer/Director/Trustee Two

TIFFANY HATHORN
SECRETARY
P O BOX 1866
JACKSON MS 39215

Officer/Director/Trustee Three

JUANITA BROWN
BOARD OF DIRECTORS
253 SUNDOWN TRAIL
JACKSON MS 39212

Officer/Director/Trustee Four

FRANK MICKENS
BOARD OF DIRECTORS
5325 HANGING MOSS ROAD
JACKSON MS 39206

Organization’s website
Organization’s email
Organization Incorporated	Yes
Organization trust	No
Necessary Organizing Documents	Yes
Organization Incorporation Date	3/3/14
Organization Incorporation State	MS
Contains Limitation	Yes
Does not expressly empower	Yes
Contains dissolution	Yes
National Taxonomy of Exempt Entities (NTEE) code	S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose	Charitable: Yes 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	No
One Third Support Gifts	Yes
Benefit of College	No
Private Foundation 508(e)	No
Seeking Retroactive Reinstatement	No
Seeking Section 7 Reinstatement	Yes
Correctness Declaration	Yes
Signature Name	WILLIE JONES
Signature Title	PRESIDENT
Signature Date	8/5/19
EIN	46-5456087
Case Number	EO-2019219-000262
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	MISSISSIPPI AFFORDABLE TRANSPORT & HEALTH SERVICES
Organization’s Mailing Address	840 EAST RIVER PLACE SUITE 605
City	JACKSON
State	MS
ZIP	39202
Accounting period End	12
Primary contact name	WILLIE JONES
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00