FORM 1023-EZ for WILLIAM AND DOLLIE COLLINS FOUNDATION

Field Data
EIN 84-3932905
Case Number EO-2020023-000532
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WILLIAM AND DOLLIE COLLINS FOUNDATION
Organization’s Mailing Address 221 SUNSET CIRCLE
City MADISON
State MS
ZIP 39110
Accounting period End 12
Primary contact name JEANETTE MOLDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEANETTE MOLDEN
CHIEF EXECUTIVE OFFICER
1046 NORTH CENTRAL PARK
CHICAGO MS 60651-3901

Officer/Director/Trustee Two

CAROLINE WRIGHT
EXECUTIVE DIRECTOR
221 SUNSET CIRCLE
MADISON MS 39110

Officer/Director/Trustee Three

GENISE WOODS
PRESIDENT
15856 HARDEN CIRCLE
SOUTHFIELD MI 48075

Officer/Director/Trustee Four

VALENCIA BAILEY
VICE PRESIDENT
104 CYPRESS COURT
PEARL MS 39208

Officer/Director/Trustee Five

KATHY WOODS HOGUE
SECRETARY
33778 AURORA DRIVE
CLINTON TOWNSHIP MI 48035

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/2019
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 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 JEANETTE MOLDEN
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 1/21/2020

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