FORM 1023-EZ for EV MISSISSIPPI

Field Data
EIN 84-3411010
Case Number EO-2019301-000349
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EV MISSISSIPPI
Organization’s Mailing Address PO BOX 16676
City HATTIESBURG
State MS
ZIP 39401
Accounting period End 12
Primary contact name JOSH HAZEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSH HAZEL
CHAIRMAN
111 CREEDMOOR
HATTIESBURG MS 39402

Officer/Director/Trustee Two

PHILIP ORTON
VICE CHAIRMAN
1299 JACKSON ROAD
HATTIESBURG MS 39402

Officer/Director/Trustee Three

RAVI KANADE
SECRETARY
78 SANDY LANE
HATTIESBURG MS 39402

Officer/Director/Trustee Four

MICHAEL MOSS
TREASURER
41 CORNER OAKS DRIVE
HATTIESBURG MS 39402

Officer/Director/Trustee Five

AMANDA HAZEL
COMMITTEE CHAIR
111 CREEDMOOR
HATTIESBURG MS 39402

Organization’s website WWW.EVMISSISSIPPI.ORG
Organization’s email INFO@EVMISSISSIPPI.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/19
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C35 - Energy Resources Conservation and Development
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 Yes
Compensation of Officer director trustee Yes
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 JOSH HAZEL
Signature Title CHAIRMAN
Signature Date 10/18/19

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