FORM 1023-EZ for OMEGA INSTITUTE LEADERSHIP

Field Data
EIN 47-4366115
Case Number EO-2018288-000486
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OMEGA INSTITUTE LEADERSHIP
Organization’s Mailing Address P O BOX 55
City ASHLAND
State MS
ZIP 38603
Accounting period End 12
Primary contact name ALFRED L WORTHY CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT CURRY
PRESIDENT
569 SWANEY DRIVE
HOLLY SPRINGS MS 38635

Officer/Director/Trustee Two

TEO MASON
VICE-PRESIDENT
10743 DAK CIRCLE N
OLIVE BRANCH MS 38654

Officer/Director/Trustee Three

JAMES HERROD
SECRETARY
882 HWY 7 NORTH
ABBEVILLE MS 38601

Officer/Director/Trustee Four

WILLIAM HARDIMAN
TREASURY
1513 STABLE RUN DR
CORDOVA TN 38016

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/12
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: Yes
Scientific: No
Literary: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROBERT CURRY
Signature Title PRESIDENT
Signature Date 10/12/18
EIN 47-4366115
Case Number EO-2015180-000314
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OMEGA LEADERSHIP INSTITUTE
Organization’s Mailing Address 6 MAIN STREET SOUTH
City ASHLAND
State MS
ZIP 38603
Accounting period End 9
Primary contact name CARL ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CARL ROBINSON
INCORPORATOR
PO BOX 55
ASHLAND MS 38603

Officer/Director/Trustee Two

ROBERT CURRY
EXECUTIVE DIRECTOR
PO BOX 549
HOLLY SPRINGS MS 38635

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/23/2015
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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