FORM 1023-EZ for GENESIS COMMUNITY DEVELOPMENT AND EMPOWERMENT CENTER

Field Data
EIN 27-4505175
Case Number EO-2015054-000255
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GENESIS COMMUNITY DEVELOPMENT AND EMPOWERMENT CENTER
Organization’s Mailing Address 816 MADISON AVENUE
City MADISON
State MS
ZIP 39110
Accounting period End 12
Primary contact name BRUCE WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BELINDA GRAY
PRESIDENT
630 HONEYSUCKER DR
MADISON MS 39110

Officer/Director/Trustee Two

MARY HOLLINS
SECRETARY-TREASURER
P O BOX 273
MADISON MS 39130

Officer/Director/Trustee Three

RALPH THOMPSON
VICE PRESIDENT
310 MIDWAY
RIDGELAND MS 39157

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/2010
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P33 - Child Day Care
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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