FORM 1023-EZ for MITCHELLVILLE SELF HELP IMPROVEMENTPROGRAM

Field Data
EIN 83-0780965
Case Number EO-2019031-000074
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MITCHELLVILLE SELF HELP IMPROVEMENTPROGRAM
Organization’s Mailing Address 216 EMILY BOWENS DRIVE
City MITCHELLVILLE
State AR
ZIP 71639
Accounting period End 12
Primary contact name LECESTER BELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LECESTER BELL
DIRECTOR
216 EMILY BOWENS DRIVE
MITCHELLVILLE AR 71639

Officer/Director/Trustee Two

WILLIE GOINS
DIRECTOR
209 VINE STREET
MITCHELLVILLE AR 71639

Officer/Director/Trustee Three

ROSIE LEE LACY
DIRECTOR
220 SOUTH ELM
DUMAS AR 71639

Officer/Director/Trustee Four

ANNIE GRISWOLD
DIRECTOR
213 EMILY BOWENS DRIVE
MITCHELLVILLE AR 71639

Officer/Director/Trustee Five

PHILLIP FLETCHER
DIRECTOR
2652 BRUCE STREET
CONWAY AR 72034

Organization’s website
Organization’s email MITCHELLVILLESHIP2018@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/18
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S21 - Community Coalitions
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 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 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 LECESTER BELL
Signature Title DIRECTOR
Signature Date 1/5/19

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