FORM 1023-EZ for CAR OF BROOKHAVEN INC

Field Data
EIN 20-1458724
Case Number EO-2016321-000200
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAR OF BROOKHAVEN INC
Organization’s Mailing Address 108 E MONTICELLO STREET
City BROOKHAVEN
State MS
ZIP 39601
Accounting period End 12
Primary contact name JAMES MCKENNON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES MCKENNON
PRESIDENT
108 E MONTICELLO ST
BROOKHAVEN MS 39601

Officer/Director/Trustee Two

JOE DAVIS
BOARD MEMBER
108 E MONTICELLO ST
BROOKHAVEN MS 39601

Officer/Director/Trustee Three

LEIGH BARRETT
BOARD MEMBER
108 E MONTICELLO ST
BROOKHAVEN MS 39601

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2005
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L80 - Housing Support Services -- Other
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 Yes
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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