FORM 1023-EZ for BUILDING BRIDGES CHANGING COMMUNITIES FOUNDATION INC

Field Data
EIN 46-2319383
Case Number EO-2018171-000494
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BUILDING BRIDGES CHANGING COMMUNITIES FOUNDATION INC
Organization’s Mailing Address 102 HIGHWAY 448
City INDIANOLA
State MS
ZIP 38751
Accounting period End 12
Primary contact name PEIRCE MCINTOSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PEIRCE MCINTOSH
EXECUTIVE DIRECTOR
P O BOX 1054
INDIANOLA MS 38751

Officer/Director/Trustee Two

KRYSTALINE SAMPLE
SECRETARY
104 JORDAN DRIVE
INDIANOLA MS 38751

Officer/Director/Trustee Three

ADRIAN HAYNES
PRESIDENT
32971 HIGHWAY 45 NORTH
NETTLETON MS 38858

Officer/Director/Trustee Four

NANNETTE BROWN
BOARD MEMBER
1200 NORTH STREET
CLEVELAND MS 38732

Officer/Director/Trustee Five

ELSTON TURNER
BOARD
6658 LAKE STREET
MOBILE AL 36618

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/13
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
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 PEIRCE MCINTOSH
Signature Title EXECUTIVE DIRECTOR
Signature Date 6/6/18

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