FORM 1023-EZ for GARRETT HICKS FOUNDATION

Field Data
EIN 82-3402897
Case Number EO-2018067-000109
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GARRETT HICKS FOUNDATION
Organization’s Mailing Address 13540 BRUSHY CREEK ROAD
City LUCEDALE
State MS
ZIP 39452
Accounting period End 11
Primary contact name BARBARA HICKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARBARA HICKS
CHIEF EXECUTIVE OFFICER
13540 BRUSHY CREEK ROAD
LUCEDALE MS 39452

Officer/Director/Trustee Two

BRITTANY BURCH
CHIEF OPERATING OFFICER
10022 VERNAL RIVER ROAD
LUCEDALE MS 39452

Officer/Director/Trustee Three

MARK HICKS
DIRECTOR OF OPERATIONS
13540 BRUSHY CREEK ROAD
LUCEDALE MS 39452

Organization’s website
Organization’s email GARRETTSMEMORIAL@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/15/17
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 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 BARBARA HICKS
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 3/6/18

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