FORM 1023-EZ for WILLIAM PEYTON FOUNDATION

Field Data
EIN 84-2826613
Case Number EO-2019280-000133
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WILLIAM PEYTON FOUNDATION
Organization’s Mailing Address 20125 HARTZELL ROAD
City LONG BEACH
State MS
ZIP 39560
Accounting period End 12
Primary contact name WILLIAM HENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM HENSON
CHAIRMAN
21025 HARTZELL ROAD
LONG BEACH MS 39560

Officer/Director/Trustee Two

JASMINE SNODGRASS
EXECUTIVE DIRECTOR
179 OCEAN WAVE AVE
LONGBEACH MS 39560

Officer/Director/Trustee Three

CHAD TAYLOR
DIRECTOR OF OPERATIONS
10406 SWEET BAY DRIVE
GULFPORT MS 39503

Officer/Director/Trustee Four

JACOB AINSWORTH
CREATIVE FUNDRAISER SPECIALIST
23275 MONTEBELLA ROAD
PASS CHRISTIAN MS 39571

Officer/Director/Trustee Five

JENNIFER GLENN
SECRETARY
617 N WRIGHT AVE
LONG BEACH MS 39560

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/19
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B02 - Management & Technical Assistance
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 No
Correctness Declaration Yes
Signature Name WILLIAM HENSON
Signature Title CHAIRMAN
Signature Date 10/3/19

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