FORM 1023-EZ for KREWE OF ST FABIAN

Field Data
EIN 85-3951081
Case Number EO-2021063-000424
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KREWE OF ST FABIAN
Organization’s Mailing Address 5266 OLD HIGHWAY 11 STE 50-214
City HATTIESBURG
State MS
ZIP 39402
Accounting period End 9
Primary contact name NANCY FARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NANCY FARRIS
PRESIDENT
2205 FULLER STREET
HATTIESBURG MS 39402

Officer/Director/Trustee Two

JILL RUTHERFORD
PRESIDENT ELECT
2 CHAPEL COURT
HATTIESBUERG MS 39402

Officer/Director/Trustee Three

ADAM HAYS
TRUSTEE
1700 S 28TH AVENUE STE D
HATTIESBURG MS 39402

Officer/Director/Trustee Four

CORY WHITTINGTON
TREASURER
103 RED ROAN ROAD
HATTIESBURG MS 39402

Officer/Director/Trustee Five

TOMMY CONWAY
PASTOR
5266 OLD HIGHWAY 11 STE 50-214
HATTIESBURG MS 39402

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/14/2020
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X22 - Roman Catholic
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ADAM HAYS
Signature Title TRUSTEE
Signature Date 12/28/2020

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