FORM 1023-EZ for POPSICLE LAND YOUTH AND VETERANS FOUNDATION

Field Data
EIN 86-2683590
Case Number EO-2021102-000364
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POPSICLE LAND YOUTH AND VETERANS FOUNDATION
Organization’s Mailing Address 498 HENRY BAKER RD
City CENTREVILLE
State MS
ZIP 39631
Accounting period End 6
Primary contact name MICHEAL DOUGLAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHEAL DOUGLAS
MEMBER
419 N MAGNOLIA ST NW
MCCOMB MS 39648

Officer/Director/Trustee Two

MAC BAKER
MEMBER
498 HENRY BAKER RD
CENTREVILLE MS 39631

Officer/Director/Trustee Three

EDWARD ARBORNOUT
MEMBER
84 BROWDER LANE
CENTREVILLE MS 39631

Officer/Director/Trustee Four

HARRY ADAMS
MEMBER
367 HENRY BAKER RD
CENTREVILLE MS 39631

Officer/Director/Trustee Five

REGGIE SMITH
MEMBER
2137 FIELD GLEN DR
ZACHARY LA 70791

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2021
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P28 - Neighborhood Centers, Settlement Houses
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHEAL DOUGLAS
Signature Title MEMBER
Signature Date 4/4/2021

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