FORM 1023-EZ for SOUTHWEST WELLNESS ASSOCIATION OF MISSISSIPPI

Field Data
EIN 82-4560262
Case Number EO-2018067-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHWEST WELLNESS ASSOCIATION OF MISSISSIPPI
Organization’s Mailing Address 248 FOSTER MOUND ROAD
City NATCHEZ
State MS
ZIP 39120
Accounting period End 12
Primary contact name JARITA FRAZIER KING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY HOUSTON
BOARD MEMBER
248 FOSTER MOUND ROAD
NATCHEZ MS 39120

Officer/Director/Trustee Two

BRENDA ROBINSON
BOARD MEMBER
248 FOSTER MOUND ROAD
NATCHEZ MS 39120

Officer/Director/Trustee Three

HELEN BROOKS
BOARD MEMBER
248 FOSTER MOUND ROAD
NATCHEZ MS 39120

Organization’s website
Organization’s email DESTINFOGRETNESS@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/17
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K40 - Nutrition Programs
Organization’s purpose Charitable: No
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 BRENDA ROBINSON
Signature Title BOARD MEMBER
Signature Date 3/6/18

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