FORM 1023-EZ for FRIENDS OF JASPER COUNTY

Field Data
EIN 82-0955410
Case Number EO-2017090-000414
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF JASPER COUNTY
Organization’s Mailing Address 1185 HWY 15 NORTH
City STRINGER
State MS
ZIP 39481
Accounting period End 12
Primary contact name RANDY JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RANDALL JOHNSON
PRESIDENT
29 WEST 8TH AVE
BAY SPRINGS MS 39422

Officer/Director/Trustee Two

MELISSA JOHNSON
VICE PRESIDENT
29 WEST 8TH AVE
BAY SPRINGS MS 39422

Officer/Director/Trustee Three

KAREN DAYVOLT
SECRETARY/TREASURE
29 WEST 8TH AVE
BAY SPRINGS MS 39422

Officer/Director/Trustee Four

STYRON KELLER
DIRECTOR
29 WEST 8TH AVE
BAY SPRINGS MS 39422

Officer/Director/Trustee Five

SPENCER RICHARDSON
DIRECTOR
29 WEST 8TH AVE
BAY SPRINGS MS 39422

Organization’s website
Organization’s email RJOHNSONB16@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/2017
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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
Signature Title
Signature Date

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