FORM 1023-EZ for JAMES SHUMPERT SR COLLEGE SCHOLARSHIP FOUNDATION INC

Field Data
EIN 84-2841694
Case Number EO-2020051-000228
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JAMES SHUMPERT SR COLLEGE SCHOLARSHIP FOUNDATION INC
Organization’s Mailing Address PO BOX 213
City VERONA
State MS
ZIP 38879
Accounting period End 12
Primary contact name JEAN SHUMPERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEAN SHUMPERT
PRESIDENT/DIRECTOR
1331 PALMETTO RD
TUPELO MS 38801

Officer/Director/Trustee Two

PHYLLIS SHUMPERT-DAVIS
SECRETARY
7970 LEGEND CREEK COUR
FRANKLIN WI 53132

Officer/Director/Trustee Three

JEAN RICHARDSON
TREASURER
1331 PALMETTO RD
TUPELO MS 38801

Organization’s website HTTP://WWW.JSSCSF.ORG
Organization’s email PSHUMPERTDAVIS@SBCGLOBAL.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/2019
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
Organization’s purpose Charitable: No
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 Yes
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 JEAN SHUMPERT
Signature Title PRESIDENT/DIRECTOR
Signature Date 2/18/2020

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