FORM 1023-EZ for DJELIYA

Field Data
EIN 47-2664421
Case Number EO-2016173-000217
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DJELIYA
Organization’s Mailing Address 1423 HARRISON
City VICKSBURG
State MS
ZIP 39180
Accounting period End 12
Primary contact name JERRY LEE JENKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JERRY JENKINS
PRESIDENT
1423 HARRISON STREET
VICKSBURG MS 39180

Officer/Director/Trustee Two

SHANINA CARMICHARL
PROGRAM DIRECTOR
1423 HARRISON STREET
1423 HARRISON STREET MS 39180

Officer/Director/Trustee Three

BARBARA WHITE
TREASURER
1423 HARRISON STREET
VICKSBURG MS 39180

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/2016
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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
Signature Title
Signature Date

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