FORM 1023-EZ for THE MT ZION MEMORIAL FUND FOR BLUESMUSIC AND JUSTICE

Field Data
EIN 86-3749958
Case Number EO-2021187-000521
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE MT ZION MEMORIAL FUND FOR BLUESMUSIC AND JUSTICE
Organization’s Mailing Address 2173 YELLOWDOG ROAD
City SENATOBIA
State MS
ZIP 38668
Accounting period End 12
Primary contact name TYLER DEWAYNE MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNISE BRADLEY
PRESIDENT
2173 YELLOWDOG ROAD
SENATOBIA MS 38668

Officer/Director/Trustee Two

KECHIA BROWN
TREASURER
107 MAPLE DRIVE
DUNCAN MS 38740

Officer/Director/Trustee Three

TYLER MOORE
SECRETARY
702 SANTEE STREET APT 1210
PRAIRIE VIEW TX 77445

Officer/Director/Trustee Four

BILL PICHETTE
VICE PRESIDENT
2173 YELLOWDOG ROAD
SENATOBIA MS 39668

Organization’s website WWW.MTZIONMEMORIALFUND.ORG
Organization’s email TDMOORE@MTZIONMEMORIALFUND.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2021
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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 TYLER MOORE
Signature Title SECRETARY
Signature Date 7/3/2021

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