FORM 1023-EZ for STRYVE INC

Field Data
EIN 83-0644311
Case Number EO-2018201-000222
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STRYVE INC
Organization’s Mailing Address 2810 EDWARDS STREET
City HATTIESBURG
State MS
ZIP 39401
Accounting period End 7
Primary contact name ASTRID LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARYL MOODY
EXECUTIVE DIRECTOR
2810 EDWARDS STREET
HATTIESBURG MS 39401

Officer/Director/Trustee Two

DANNY VAN VELKINBURGH
PROGRAM DIRECTOR
2810 EDWARDS STREET
HATTIESBURG MS 39401

Officer/Director/Trustee Three

KOUNDA PARKER
FINANCE OFFICER
2810 EDWARDS STREET
HATTIESBURG MS 39401

Officer/Director/Trustee Four

ROSA MOODY
ADMINISTRATIVE ASSISTANT
2810 EDWARDS STREET
HATTIESBURG MS 39401

Officer/Director/Trustee Five

KENNETH HUBBARD
EDUCATION COORDINATOR
2810 EDWARDS STREET
HATTIESBURG MS 39401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/18
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S31 - Urban, Community Economic Development
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 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 DARYL MOODY
Signature Title EXECUTIVE DIRECTOR
Signature Date 7/18/18

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