FORM 1023-EZ for MAIN STREET CRYSTAL SPRINGS

Field Data
EIN 81-1080258
Case Number EO-2016085-000484
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAIN STREET CRYSTAL SPRINGS
Organization’s Mailing Address 473
City CRYSTAL SPRINGS
State MS
ZIP 39059-9718
Accounting period End 12
Primary contact name ROXANNE MACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GENE HORTON
PRESIDENT
317 EAST MARION AVENUE
CRYSTAL SPRINGS MS 39059-9718

Officer/Director/Trustee Two

JIM SHULL
VICE-PRESIDENT
318 EAST MARION AVENUE
CRYSTAL SPRINGS MS 39059-9718

Officer/Director/Trustee Three

MARY DELL MCCOY
SECRETARY/TREASURER
501 WEST GEORGETOWN STREET
CRYSTAL SPRINGS MS 39059-0718

Officer/Director/Trustee Four

ROXANNE MACK
EXECUTIVE DIRECTOR
3050 COUNTY LINE ROAD
CRYSTAL SPRINGS MS 39059-9718

Organization’s website
Organization’s email CSMAINSTREETDIRECTOR@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/2016
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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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