FORM 1023-EZ for MISSISSIPPI HEALTH DEVELOPMENT FUND

Field Data
EIN 46-3227843
Case Number EO-2017018-000468
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISSISSIPPI HEALTH DEVELOPMENT FUND
Organization’s Mailing Address 120 NORTH CONGRESS STREET SUITE 902
City JACKSON
State MS
ZIP 39201
Accounting period End 12
Primary contact name CHARLES R LINDSAY CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUZANNE SHARPE
CHAIRMAN
120 N CONGRESS ST STE 902
JACKSON MS 39201

Officer/Director/Trustee Two

AMY WHITTEN
SECRETARY
607 HIGHLAND COLONY PARKWAY
RIDGELAND MS 39157

Officer/Director/Trustee Three

ANDREW TAGGART
TREASURER
1022 HIGHLAND COLONY PARKWAY ST 101
RIDGELAND MS 39157

Officer/Director/Trustee Four

RICA LEWIS-PAYTON
DIRECTOR
715 S PEAR ORCHARD ROAD
RIDGELAND MS 39157

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2013
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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 Yes
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 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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