FORM 1023-EZ for BACKPACK BUDDIES OF VANCLEAVE

Field Data
EIN 46-0823287
Case Number EO-2015075-000594
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BACKPACK BUDDIES OF VANCLEAVE
Organization’s Mailing Address 11936 OAK HOLLOW DRIVE
City VANCLEAVE
State MS
ZIP 39565
Accounting period End 12
Primary contact name LINDSEY HENLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LINDSEY HENLEY
PRESIDENT
11936 OAK HOLLOW DR
VANCLEAVE MS 39565

Officer/Director/Trustee Two

HAILEY BARTON
SECRETARY
10005 JOHNS BAYOU RD
VANCLEAVE MS 39565

Officer/Director/Trustee Three

PAM LOCKE
TREASURER
9801 BRIARCREST LANE
VANCLEAVE MS 39565

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2012
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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
Signature Title
Signature Date

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