FORM 1023-EZ for MISSISSIPPI ASSOCIATION OF YOUTH FOSTER ADOPTIVE AND KINSHIP CAREGIVER

Field Data
EIN 47-2359517
Case Number EO-2015089-000242
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISSISSIPPI ASSOCIATION OF YOUTH FOSTER ADOPTIVE AND KINSHIP CAREGIVER
Organization’s Mailing Address 539 GEORGETOWN STREET
City HAZLEHURST
State MS
ZIP 39083
Accounting period End 12
Primary contact name JENNI RUST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EDDIE VIRGIL
PRESIDENT
539 GEORGETOWN ST
HAZLEHURST MS 39083

Officer/Director/Trustee Two

MAGDELENA HOLLAND
VICE PRESIDENT
119 NORTH SEA SHORE
LONG BEACH MS 38560

Officer/Director/Trustee Three

CAROL SMITH
TREASURER
226 FAIRFIELD DRIVE
JACKSON MS 39206

Officer/Director/Trustee Four

JENNI RUST
SECRETARY
3725 MEADOW TRACE COVE
NESBIT MS 38651

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2014
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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