FORM 1023-EZ for REGGIE PUCKETT JUNIOR FOUNDATION

Field Data
EIN 81-4111176
Case Number EO-2016319-000350
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REGGIE PUCKETT JUNIOR FOUNDATION
Organization’s Mailing Address 235 FLOWOOD DRIVE
City FLOWOOD
State MS
ZIP 39232
Accounting period End 12
Primary contact name JOE LACEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOE LACEY
PRESIDENT
235 FLOWOOD DRIVE
FLOWOOD MS 39232

Officer/Director/Trustee Two

WILLIAM EVANS
SECRETARY
208 WISTERIA COURT
FLOWOOD MS 39232

Officer/Director/Trustee Three

VICKI HART
TREASURER
110 DEERTRAIL
BRANDON MS 39042

Organization’s website N/A
Organization’s email LURALEHIGH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/24/2016
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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
Signature Title
Signature Date

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