FORM 1023-EZ for MISSISSIPPI INSTITUTE FOR HEALTH EQUITY & SOCIAL JUSTICE

Field Data
EIN 85-1521598
Case Number EO-2021018-000284
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISSISSIPPI INSTITUTE FOR HEALTH EQUITY & SOCIAL JUSTICE
Organization’s Mailing Address 141 NORTHGATE DR
City CANTON
State MS
ZIP 39046
Accounting period End 12
Primary contact name NACI POWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NACI POWELL
FOUNDER
141 NORTHGATE DR
CANTON MS 39046

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/2020
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
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 NACI POWELL
Signature Title FOUNDER
Signature Date 11/19/2020

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