FORM 1023-EZ for STATE LINE CEMETERY ASSOCIATION

Field Data
EIN 81-3704284
Case Number EO-2017244-000198
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STATE LINE CEMETERY ASSOCIATION
Organization’s Mailing Address POST OFFICE BOX 461
City STATE LINE
State MS
ZIP 39362
Accounting period End 12
Primary contact name AUBREY LUCAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PERRY YOUNG
PRESIDENT
143 MAIN STREET
STATE LINE MS 39362-0145

Officer/Director/Trustee Two

ELVIS HENNIS
VICE PRESIDENT
675 HIGHWAY 56
CHATOM AL 36518-6505

Officer/Director/Trustee Three

JOEY GILES
TREASURER
327 MAIN STREET
STATE LINE MS 39362-9700

Officer/Director/Trustee Four

AMY PRUITT
SECRETARY
171 DOGWOOD ROAD
STATE LINE MS 39362-3102

Officer/Director/Trustee Five

AUBREY LUCAS
BOARD OF DIRECTORS MEMBER
3200 JAMESTOWN ROAD
HATTIESBURG MS 39402-2333

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2017
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C50 - Environmental Beautification and Aesthetics
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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