FORM 1023-EZ for ANNS WAY

Field Data
EIN 85-3469896
Case Number EO-2021100-001234
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANNS WAY
Organization’s Mailing Address 112 DOMINION PARKWAY
City BRANDON
State MS
ZIP 39042
Accounting period End 12
Primary contact name RONALD E RUSSELL CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORIE TILL
DIRECTOR
112 DOMINION PARKWAY
BRANDON MS 39042

Officer/Director/Trustee Two

SUSAN HALE
DIRECTOR
592 J BURHAM ROAD
PELAHATCHIE MS 39145

Officer/Director/Trustee Three

CHRISTIE BURNETT
DIRECTOR
845 W AMITE STREET
JACKSON MS 39203

Officer/Director/Trustee Four

MAUREEN FINNERTY
DIRECTOR
21523 PEBBLE PINE COURT
CYPRESS TX 77433

Officer/Director/Trustee Five

BRICE TILL
DIRECTOR
112 DOMINION PARKWAY
BRANDON MS 39042

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2020
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LORIE TILL
Signature Title DIRECTOR
Signature Date 3/31/2021

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