FORM 1023-EZ for ONE LOST SHEEP

Field Data
EIN 85-3080204
Case Number EO-2020307-000381
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ONE LOST SHEEP
Organization’s Mailing Address 53 LOSS ROAD
City PONTOTOC
State MS
ZIP 38863
Accounting period End 12
Primary contact name JO ANNE POOLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JO ANNE POOLE
PRESIDENT
53 LOSS ROAD
PONTOTOC MS 38863

Officer/Director/Trustee Two

JEFF BAGWELL
VICE PRESIDENT
WALLS VALLEY ROAD
PONTOTOC MS 38863

Officer/Director/Trustee Three

CINDY DAVIS
TREASURER
364 HWY 342
PONTOTOC MS 38863

Officer/Director/Trustee Four

CATHY FERGUSON
SECRETARY
FERGUSON RD
PONTOTOC MS 38863

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2020
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
Organization’s purpose Charitable: No
Religious: Yes
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 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 CINDY DAVIS
Signature Title TREASURER
Signature Date 10/29/2020

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