FORM 1023-EZ for MASON JAR COMMITTEE

Field Data
EIN 47-4028794
Case Number EO-2015265-000165
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MASON JAR COMMITTEE
Organization’s Mailing Address 1180 KIT MAPLES RD
City PERKINSTON
State MS
ZIP 39573
Accounting period End 5
Primary contact name KIMBERLY JAMSION
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIMBERLY JAMISON
PRESIDENT
1180 KIT MAPLES RD
PERKINSTON MS 39573

Officer/Director/Trustee Two

GABRIELLE LONG
VICE PRESIDENT
650 MCLEOD RD
LUCEDALE MS 39452

Officer/Director/Trustee Three

DEBORAH BURKETT
TREASURER
164 BILBO LN
LUCEDALE MS 39452

Officer/Director/Trustee Four

CHARLA EUBANKS
SECRETARY
138 READYS DR
LUCEDALE MS 39452

Officer/Director/Trustee Five

ASHLEY SMATHERS
MARKETING
161 BLACKBERRY LANE
LUCEDALE MS 39452

Organization’s website WWW.MASONJARJUBILEE.WEEBLY.COM
Organization’s email MASONJARJUBILEE@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2015
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
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
Signature Title
Signature Date

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