FORM 1023-EZ for FIRST BRIDGE

Field Data
EIN 84-1894671
Case Number EO-2019186-000384
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIRST BRIDGE
Organization’s Mailing Address 992 HIGHWAY 42
City PETAL
State MS
ZIP 39465
Accounting period End 12
Primary contact name BRITTANY SUMRALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELANIE BLANTON
DIRECTOR
27 SWEET BAY TRAIL
PETAL MS 39465

Officer/Director/Trustee Two

LAURA RI
DIRECTOR
700 BEVERLY HILLS RD APT 821
HATTIESBURG MS 39401-9468

Officer/Director/Trustee Three

HAYLEY TAYLOR
DIRECTOR
99 HIGH MEADOWS CIRCLE
PETAL MS 39465

Officer/Director/Trustee Four

CARL BURKETT
DIRECTOR
17 SPRINGFIELD RD
PETAL MS 39465

Officer/Director/Trustee Five

OPAL WATKINS
DIRECTOR
199 GOODLUCK RD
PETAL MS 39465

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/19
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: 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 MELANIE BLANTON
Signature Title DIRECTOR
Signature Date 7/3/19

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