FORM 1023-EZ for BLUE JEAN JESUS INC

Field Data
EIN 64-0885803
Case Number EO-2016312-000494
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLUE JEAN JESUS INC
Organization’s Mailing Address PO BOX 777
City LOUISVILLE
State MS
ZIP 39339-0777
Accounting period End 12
Primary contact name BILL TABOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM TABOR
PRESIDENT DIRECTOR
1479 OLD ROBINSON RD
LOUISVILLE MS 39339-0777

Officer/Director/Trustee Two

WILL TABOR
DIRECTOR SECRETARY
108 WINTERSET DR
STARKVILLE MS 39759

Officer/Director/Trustee Three

SAM DUNLAP
DIRECTOR
GUM BRANCH ROAD
LOUISVILLE MS 39339

Officer/Director/Trustee Four

MIKE CHILDS
DIRECTOR
201 WHITE CIRCLE
LOUISVILLE MS 39339

Officer/Director/Trustee Five

LARRY HOWELL
DIRECTOR
76 WEBSTER-A ROAD
LOUISVILLE MS 39339

Organization’s website
Organization’s email BILLTABOR@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/1996
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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