FORM 1023-EZ for VICKI M SMITH FOUNDATION

Field Data
EIN 82-0760913
Case Number EO-2019136-000297
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VICKI M SMITH FOUNDATION
Organization’s Mailing Address 1889 CR 478
City MYRTLE
State MS
ZIP 38650
Accounting period End 12
Primary contact name LESLIE SWORDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL HALE
PRESIDENT
1889 CR 478
MYRTLE MS 38650

Officer/Director/Trustee Two

MICHALE HEWLETT
VICE PRESIDENT
781 ROBINSON CREEK DRIVE
PROSPER TX 75078

Officer/Director/Trustee Three

JILL SMITH
SECRETARY
207 BROAD STREET
NEW ALBNAY MS 38652

Officer/Director/Trustee Four

JAMES OWEN
TREASURER
403 GARTIN
NEW ALBANY MS 38652

Officer/Director/Trustee Five

LESLIE SWORDS
REGISTERED AGENT
2012 APPLE TREE LANE
NEW ALBANY MS 38652

Organization’s website
Organization’s email MICHAEL.VICKIMSMITHFOUNDATION@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/19
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C41 - Botanical Gardens, Arboreta and Botanical Organizations
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LESLIE SWORDS
Signature Title REGISTERED AGENT
Signature Date 5/14/19

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