FORM 1023-EZ for PINEY WOODS CONSERVATION GROUP

Field Data
EIN 87-1500655
Case Number EO-2021187-000376
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PINEY WOODS CONSERVATION GROUP
Organization’s Mailing Address 6042 US HWY 98 W
City HATTIESBURG
State MS
ZIP 39402
Accounting period End 12
Primary contact name SHAWN HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWN HARRIS
DIRECTOR
6042 US HWY 98 W
HATTIESBURG MS 39402

Officer/Director/Trustee Two

RUSS BRYAN
DIRECTOR
704 HARDY STREET
HATTIESBURG MS 39401

Officer/Director/Trustee Three

SHAN THOMPSON
DIRECTOR
300 S 25TH AVENUE
HATTIESBURG MS 39401

Officer/Director/Trustee Four

MIKE DAVIS
DIRECTOR
150 LAKE THOREAU ROAD
HATTIESBURG MS 39402

Officer/Director/Trustee Five

TONY SMITH
DIRECTOR
PO BOX 4079
GULFPORT MS 39501

Organization’s website WWW.PINEBELTBLUEWAYS.COM
Organization’s email PINEBELTBLUEWAYSINFO@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2021
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: Yes
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 SHAWN HARRIS
Signature Title DIRECTOR
Signature Date 7/2/2021

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