FORM 1023-EZ for WILLIAM CLIFF HEATON JR FOUNDATIONINC

Field Data
EIN 83-2012075
Case Number EO-2018270-000523
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WILLIAM CLIFF HEATON JR FOUNDATIONINC
Organization’s Mailing Address PO BOX 158
City LYON
State MS
ZIP 38645-158
Accounting period End 12
Primary contact name WILLIAM CLIFF HEATON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM HEATON
PRESIDENT
500 KILLEBREW STREET
LYON MS 38645-158

Officer/Director/Trustee Two

CHRISTINE HEATON
VICE-PRESIDENT
212 WESTOVER DRIVE
CLARKSDALE MS 38614

Officer/Director/Trustee Three

BRIAN FYFE
VICE-PRESIDENT
500 COLONIAL DRIVE
CLARKSDALE MS 38614

Officer/Director/Trustee Four

DENISE EDWARDS
TREASURER
815 FRIARS POINT ROAD
CLARKSDALE MS 38614

Officer/Director/Trustee Five

CHERYL ASHMORE
SECRETARY
305 MOSELEY STREET
LYON MS 38645-382

Organization’s website NONE
Organization’s email CLIFFHEATON@BELLSOUTH.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/18
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F22 - Alcohol, Drug Abuse, Treatment Only
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 WILLIAM HEATON
Signature Title PRESIDENT
Signature Date 9/25/18
EIN 83-2012075
Case Number EO-2018270-000523
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WILLIAM CLIFF HEATON JR FOUNDATION INC
Organization’s Mailing Address PO BOX 158
City LYON
State MS
ZIP 38645-158
Accounting period End 12
Primary contact name WILLIAM CLIFF HEATON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM HEATON
PRESIDENT
500 KILLEBREW STREET
LYON MS 38645-158

Officer/Director/Trustee Two

CHRISTINE HEATON
VICE-PRESIDENT
212 WESTOVER DRIVE
CLARKSDALE MS 38614

Officer/Director/Trustee Three

BRIAN FYFE
VICE-PRESIDENT
500 COLONIAL DRIVE
CLARKSDALE MS 38614

Officer/Director/Trustee Four

DENISE EDWARDS
TREASURER
815 FRIARS POINT ROAD
CLARKSDALE MS 38614

Officer/Director/Trustee Five

CHERYL ASHMORE
SECRETARY
305 MOSELEY STREET
LYON MS 38645-382

Organization’s website NONE
Organization’s email CLIFFHEATON@BELLSOUTH.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/18
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F22 - Alcohol, Drug Abuse, Treatment Only
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 WILLIAM HEATON
Signature Title PRESIDENT
Signature Date 9/25/18

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