| Field | Data |
|---|---|
| EIN | 85-2045785 |
| Case Number | EO-2020273-000422 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MISSISSIPPI BLACK LIVES MATTER DBABLACK LIVES MATTER MISSISSIPPI |
| Organization’s Mailing Address | 235 MARY MAGDALENE ROAD |
| City | HATTIESBURG |
| State | MS |
| ZIP | 39401 |
| Accounting period End | 12 |
| Primary contact name | DONALD RAY BETHLEY JR |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
DONALD BETHLEY
VICE PRESIDENT
612 N 31ST AVENUE APT A3
HATTIESBURG MS 39401
REGINALD VIRGIL
PRESIDENT
1525 E PASS RD
GULFPORT MS 39507
KERRI PARKER
TREASURER
4636 UNIVERSITY AVENUE
LAUREL MS 39440
JEREMY BRIDGES
OFFICER
550 W MAGNOLIA STREET
GULFPORT MS 39507
ANASTASIA DOCTOR
OFFICER
204 N 23D AVENUE
HATTIESBURG MS 39401
| Organization’s website | HTTPS://WWW.BLACKLIVESMATTERMISSISSIPPI.ORG/ |
|---|---|
| Organization’s email | BLIVESMATTERMS@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/14/2020 |
| Organization Incorporation State | MS |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | R01 - Alliance/Advocacy Organizations |
| Organization’s purpose | Charitable: Yes 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 | Yes |
| 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 | DONALD BETHLEY |
| Signature Title | VICE PRESIDENT |
| Signature Date | 9/25/2020 |
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