FORM 1023-EZ for UNIVERSITY OF MARY HOLMES A & T

Field Data
EIN 84-3097167
Case Number EO-2019322-000520
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNIVERSITY OF MARY HOLMES A & T
Organization’s Mailing Address 285 BUSTER GOODE ROAD
City WEST POINT
State MS
ZIP 39773
Accounting period End 12
Primary contact name JASON CRAWFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON CRAWFORD
DIRECTOR
285 BUSTER GOODE ROAD
WEST POINT MS 39773

Officer/Director/Trustee Two

SAMMIE POTTS
PRESIDENT
285 BUSTER GOODE ROAD
WEST POINT MS 39773

Officer/Director/Trustee Three

JENNIFER WASHINGTON
TREASURE
285 BUSTER GOODE ROAD
WEST POINT MS 39773

Officer/Director/Trustee Four

RUTH CRAWFORD
SECRETARY
285 BUSTER GOODE ROAD
WEST POINT MS 39773

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/19
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B43 - University or Technological Institute
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 No
Correctness Declaration Yes
Signature Name JASON CRAWFORD
Signature Title DIRECTOR
Signature Date 11/15/19

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