FORM 1023-EZ for MISSISSIPPI QUEST COMMUNITY OUTREACH INC

Field Data
EIN 90-0772105
Case Number EO-2014256-000147
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISSISSIPPI QUEST COMMUNITY OUTREACH INC
Organization’s Mailing Address 1693 LAKEOVER ROAD
City JACKSON
State MS
ZIP 39213
Accounting period End 12
Primary contact name WILLIE MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILLIE MOORE
INCORPORATOR
1693 LAKEOVER ROAD
JACKSON MS 39213

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/19/2011
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 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 Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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