FORM 1023-EZ for JACKSON LEADERSHIP FOUNDATION INC

Field Data
EIN 82-3428417
Case Number EO-2018057-000189
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACKSON LEADERSHIP FOUNDATION INC
Organization’s Mailing Address 745 N PRESIDENT ST
City JACKSON
State MS
ZIP 39236
Accounting period End 12
Primary contact name SIDNEY SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL BOLEN
PRESIDENT
404 SUMMER HILL RD
MADISON MS 39110

Officer/Director/Trustee Two

DAVID HENDERSON
TREASURER
104 WOODLANDS GLEN CIR
BRANDON MS 39047

Officer/Director/Trustee Three

DAVID HARDIN JR
VICE PRESIDENT
120 FERRY DR
BRANDON MS 39047

Officer/Director/Trustee Four

JUSTIN WILKERSON
SECRETARY
400 DEER HOLLOW
BRANDON MS 39047

Officer/Director/Trustee Five

SIDNEY SMITH
MEMBER
152 BELLE POINTE
MADISON MS 39110

Organization’s website WWW.JACKSONLEADERSHIPFOUNDATION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/17
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 SIDNEY SMITH
Signature Title MEMBER
Signature Date 2/22/18

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