FORM 1023-EZ for THE EXCELLENCE FOUNDATION

Field Data
EIN 64-0918476
Case Number EO-2016236-000116
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE EXCELLENCE FOUNDATION
Organization’s Mailing Address 5861 MADISON EDWARD DRIVE
City JACKSON
State MS
ZIP 39206
Accounting period End 12
Primary contact name BARBARA MARTIN BLACKMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARBARA BLACKMON
PRESIDENT
907 WEST PEACE STREET
CANTON MS 39046

Officer/Director/Trustee Two

EDWARD BLACKMON
VICE PRESIDENT
907 WEST PEACE STREET
CANTON MS 39046

Officer/Director/Trustee Three

BRADFORD BLACKMON
SECRETARY-TREASURER
374 NORTH WEST STREET
CANTON MS 39046

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/1997
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B23 -
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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