FORM 1023-EZ for DOUBLE BLESSINGS YAZOO

Field Data
EIN 82-1117933
Case Number EO-2019329-000366
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOUBLE BLESSINGS YAZOO
Organization’s Mailing Address PO BOX 1412
City YAZOO CITY
State MS
ZIP 39194
Accounting period End 12
Primary contact name CYNTHIA JOHNSON WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CYNTHIA WALKER
ASST DIRECTOR
505 EAST BROADWAY
YAZOO CITY MS 39194

Officer/Director/Trustee Two

SAMORA ALLEN
DIRECTOR
249 W 18TH STREET
YAZOO CITY MS 39194

Officer/Director/Trustee Three

SILVER ALLEN
PRESIDENT
249 W 18TH STREET
YAZOO CITY MS 39194

Officer/Director/Trustee Four

WILLIAM NELSON
VICE PRESIDENT
1535 SWAYZE STREET
YAZOO CITY MS 39194

Officer/Director/Trustee Five

ALLISON HUGHES
TREASURER/SECRETARY
74 PLACE CIRCLE DRIVE
YAZOO CITY MS 39194

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/17
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 Yes
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 ALLISON HUGHES
Signature Title TREASURER/SECRETARY
Signature Date 11/21/19

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