FORM 1023-EZ for STARFISH FOUNDATION

Field Data
EIN 81-4402936
Case Number EO-2016347-000085
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STARFISH FOUNDATION
Organization’s Mailing Address PO BOX 982
City LEAKESVILLE
State MS
ZIP 39451
Accounting period End 12
Primary contact name JIMMY HOLCOMB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIMMY HOLCOMB
PRESIDENT
285 HIGH SCHOOL ROAD
LEAKESVILLE MS 39451

Officer/Director/Trustee Two

ANDREW HOLLINGHEAD
VICE-PRESIDENT
148 JONA DRIVE
LEAKESVILLE MS 39451

Officer/Director/Trustee Three

WILLIAM HOLLINGHEAD
SECRETARY
44 HOLLINGHEAD DRIVE
STATE LINE MS 39362

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/29/2016
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
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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