FORM 1023-EZ for KELLY SETTLEMENT HISTORICAL FOUNDATION

Field Data
EIN 45-0729093
Case Number EO-2021273-000191
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KELLY SETTLEMENT HISTORICAL FOUNDATION
Organization’s Mailing Address 796 MONROE ROAD
City HATTIESBURG
State MS
ZIP 39401
Accounting period End 12
Primary contact name DENNIS K DAHMER SR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENNIS K DAHMER SR
PRESIDENT
796 MONROE ROAD
HATTIESBURG MS 39401

Officer/Director/Trustee Two

MED CULLINS
DIRECTOR
1153 S 15TH STREET APT 1
BATON ROUGE LA 70802

Officer/Director/Trustee Three

LLOYD JONES SR
DIRECTOR
1247 KENILWORTH PARKWAY
BATON ROUGE LA 70808

Organization’s website
Organization’s email SCILABPROD@MSN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents No
Organization Incorporation Date 4/25/2011
Organization Incorporation State MS
Contains Limitation No
Does not expressly empower No
Contains dissolution No
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 Yes
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 Yes
Correctness Declaration No
Signature Name DENNIS K DAHMER SR
Signature Title PRESIDENT
Signature Date 9/28/2021

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