FORM 1023-EZ for FORWARD MISSISSIPPI INC FKA WELCOMETO MISSISSIPPI INC

Field Data
EIN 81-4565500
Case Number EO-2019340-000353
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORWARD MISSISSIPPI INC FKA WELCOMETO MISSISSIPPI INC
Organization’s Mailing Address 188 EAST CAPITOL STREET SUITE 1000
City JACKSON
State MS
ZIP 39201-2100
Accounting period End 12
Primary contact name ROY D CAMPBELL III
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROY CAMPBELL III
PRESIDENT
835 AVONDALE STREET
JACKSON MS 39216-3316

Officer/Director/Trustee Two

JEAN MEDLEY
VICE PRESIDENT
238 EASTBROOKE STREET
JACKSON MS 39216-4716

Officer/Director/Trustee Three

SEETHA SRINIVASAN
SECRETARY
1948 CHEROKEE DRIVE
JACKSON MS 39211

Officer/Director/Trustee Four

CAROL PENICK
TREASURER
4 PECAN TREE PLACE
JACKSON MS 39211

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/2016
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R40 - Voter Education, Registration
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROY CAMPBELL III
Signature Title PRESIDENT
Signature Date 12/4/2019
EIN 81-4565500
Case Number EO-2018115-000236
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORWARD-MISSISSIPPI INC FKA WELCOME TO MISSISSIPPI INC
Organization’s Mailing Address 188 EAST CAPITOL STREET- SUITE 400
City JACKSON
State MS
ZIP 39201-2100
Accounting period End 12
Primary contact name ROY D CAMPBELL III
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROY CAMPBELL III
PRESIDENT
835 AVONDALE STREET
JACKSON MS 39216-3316

Officer/Director/Trustee Two

JEAN MEDLEY
VICE PRESIDENT
238 EASTBROOKE STREET
JACKSON MS 39216-4716

Officer/Director/Trustee Three

KENNETH TOWNSEND
SECRETARY
1701 NORTH STATE STREET
JACKSON MS 39210-1

Officer/Director/Trustee Four

SEETHA SRINIVASAN
TREASURER
1948 CHEROKEE DRIVE
JACKSON MS 39211

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/16
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R40 - Voter Education, Registration
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 ROY CAMPBELL III
Signature Title PRESIDENT
Signature Date 4/23/18

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