FORM 1023-EZ for NETTLETON MAIN STREET ASSOCIATION

Field Data
EIN 86-1709623
Case Number EO-2021109-000483
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NETTLETON MAIN STREET ASSOCIATION
Organization’s Mailing Address 30206 SCHLICHT RD
City NETTLETON
State MS
ZIP 38858
Accounting period End 12
Primary contact name DANA BURCHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANA BURCHAM
EXECUTIVE DIRECTOR
30206 SCHLICHT RD
NETTLETON MS 38858

Officer/Director/Trustee Two

JAMIE ELLIOTT
PRESIDENT
30206 SCHLICHT RD
NETTLETON MS 38858

Officer/Director/Trustee Three

KRISTEN EADES
VICE PRESIDENT
30206 SCHLICHT RD
NETTLETON MS 38858

Officer/Director/Trustee Four

CHRIS MONTEITH
TREASURER
30206 SCHLICHT RD
NETTLETON MS 38858

Officer/Director/Trustee Five

JIMMY CARTER
BOARD MEMBER
30206 SCHLICHT RD
NETTLETON MS 38858

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2020
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 DANA BURCHAM
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/16/2021

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