FORM 1023-EZ for 21 MOVEMENT FOUNDATION

Field Data
EIN 81-1084257
Case Number EO-2016032-000115
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 21 MOVEMENT FOUNDATION
Organization’s Mailing Address 3280 39TH AVE
City GULFPORT
State MS
ZIP 39501
Accounting period End 12
Primary contact name DONALD GIBSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ISAAC SMITH
PRESIDENT
3209 55TH AVE
GULFPORT MS 39501

Officer/Director/Trustee Two

CHARLES MOLDEN
TREASURER
6332 MOSS POINT AVE
MOSS POINT MS 39563

Officer/Director/Trustee Three

JALEASA WALDEN
SECRETARY
2530 CALLE HERMOSA
GAUTIER MS 39553

Organization’s website
Organization’s email DGIBSON@21MOVEMENT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2015
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B60 - Adult, Continuing Education
Organization’s purpose Charitable: Yes
Religious: No
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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