FORM 1023-EZ for XCLUSIVE FOUNDATION
| Field | Data |
|---|---|
| EIN | 84-2104147 |
| Case Number | EO-2019225-000252 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | XCLUSIVE FOUNDATION |
| Organization’s Mailing Address | 2009 BRIARFIELD CV |
| City | OXFORD |
| State | MS |
| ZIP | 38655 |
| Accounting period End | 12 |
| Primary contact name | XCLUSIVE FOUNDATION |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
WILLIAM JOHNSON
CHAIRMAN OF THE BOARD/PRESIDENT
2009 BRIARFIELD CV
OXFORD MS 38655
Officer/Director/Trustee Two
COASIE PARKER
SECRETARY
2272 SEVEN ROAD
BATESVILLE MS 38606
Officer/Director/Trustee Three
EDNA JOHNSON
TREASURER
2009 BRIARFIELD CV
OXFORD MS 38655
Officer/Director/Trustee Four
MELONDY JOHNSON
BOARD MEMBER
2151 NATHANIEL CIR W
MEMPHIS TN 38134
Officer/Director/Trustee Five
TRACEY SCURLOCK
BOARD MEMBER
3747 EUREKA ROAD
BATESVILLE MS 38608
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/10/19 |
| Organization Incorporation State | MS |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B82 - Scholarships, Student Financial Aid Services, Awards |
| 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 | No |
| Compensation of Officer director trustee | No |
| Donation of funds | Yes |
| 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 | WILLIAM JOHNSON |
| Signature Title | CHAIRMAN OF THE BOARD/PRESIDENT |
| Signature Date | 8/11/19 |
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