FORM 1023-EZ for BLACK GIRLS ROCK OF MS INC

Field Data
EIN 47-5217324
Case Number EO-2020147-000524
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK GIRLS ROCK OF MS INC
Organization’s Mailing Address 35 CHOCTAW ROAD
City STARKVILLE
State MS
ZIP 39759
Accounting period End 7
Primary contact name SANTEE EZELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANTEE EZELL
FOUNDER
35
STARKVILLE MS 39759

Officer/Director/Trustee Two

ANITA EZELL
CORRESPONDING SECRETARY
35 CHOCTAW ROAD
STARKVILLE MS 39759

Officer/Director/Trustee Three

ANGELA BURNS
PRESIDENT
572 CR 380
CALHOUN CITY MS 39759

Officer/Director/Trustee Four

ANETRISE HAMPTON
CHAPLAIN
120 MEYERS AVENUE
CALHOUN CITY MS 38916

Officer/Director/Trustee Five

SHARON PETTY
TREASURER
265 RICHARDS STREET
VARDAMAN MS 38878

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/21/2020
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SANTEE EZELL
Signature Title FOUNDER
Signature Date 5/22/2020

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