FORM 1023-EZ for YAZOO COUNTY WILDLIFE ASSOCIATION

Field Data
EIN 46-5479838
Case Number EO-2014272-000143
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YAZOO COUNTY WILDLIFE ASSOCIATION
Organization’s Mailing Address 220 WYETH DRIVE SUITE C
City YAZOO CITY
State MS
ZIP 39194
Accounting period End 12
Primary contact name ELLEN DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAT PEEPLES
PRESIDENT
727 WHITE OAK DRIVE
YAZOO CITY MS 39194

Officer/Director/Trustee Two

COLBY DAVIS
VICE PRESIDENT
2106 DOVER ROAD
BENTONIA MS 39040

Officer/Director/Trustee Three

ELLEN DAVIS
SECRETARY
640 CHEW FORK ROAD
BENTON MS 39039

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/1989
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y12 - Fund Raising and/or Fund Distribution
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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