FORM 1023-EZ for MT HEBRON CEMETERY CHURCH ASSOCIATION INC

Field Data
EIN 47-3082241
Case Number EO-2015043-000408
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MT HEBRON CEMETERY CHURCH ASSOCIATION INC
Organization’s Mailing Address 3805 ENONDALE RD
City PORTERVILLE
State MS
ZIP 39352
Accounting period End 12
Primary contact name G KELLY SWAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LESLIE GRANTHAM
DIRECTOR
3805 ENONDALE ROAD
PORTERVILLE MS 39352

Officer/Director/Trustee Two

G KELLY SWAIN
DIRECTOR
2921 8TH STREET
MERIDIAN MS 39301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/2014
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y50 - Cemeteries, Burial Services
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 Yes
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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