FORM 1023-EZ for MISSISSIPPI ANIMAL RESCUE AND ADVOCACY

Field Data
EIN 83-2378609
Case Number EO-2019142-000174
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISSISSIPPI ANIMAL RESCUE AND ADVOCACY
Organization’s Mailing Address 9015 WILSON MILL RD
City LAKE CORMORANT
State MS
ZIP 38641-9000
Accounting period End 12
Primary contact name MICHAEL VAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL VAN
PRESIDENT
9015 WILSON MILL RD
LAKE CORMORANT MS 38641-9000

Officer/Director/Trustee Two

LISA HALL-HAYES
SECRETARY
3585 HEATHCLIFF DR
HORN LAKE MS 38637-2512

Officer/Director/Trustee Three

AUTUMN WOODS
VICE PRESIDENT
1960 N PARKWAY UNIT 102
MEMPHIS TN 38112-5022

Officer/Director/Trustee Four

LISA GARCEAU
TREASURER
3295 OAK LEAF DR
OLIVE BRANCH MS 38654-7769

Officer/Director/Trustee Five

CRISSY CORNACCHIA
DIRECTOR
12251 MACON RD
COLLIERVILLE TN 38017-4851

Organization’s website HTTPS://MARARESCUE.WEEBLY.COM/
Organization’s email MARARESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/18
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
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 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 MICHAEL VAN
Signature Title PRESIDENT
Signature Date 5/20/19

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