FORM 1023-EZ for MISSISSIPPI METABOLICS FOUNDATION

Field Data
EIN 84-2340619
Case Number EO-2020062-000568
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISSISSIPPI METABOLICS FOUNDATION
Organization’s Mailing Address 6714 HWY 69 S
City COLUMBUS
State MS
ZIP 39702
Accounting period End 12
Primary contact name SHANNAH HUDSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANNAH HUDSON
PRESIDENT
6714 HWY 69 S
COLUMBUS MS 39702

Officer/Director/Trustee Two

KATIE BARKLEY
VICE-PRESIDENT
204 FAIRVIEW STREET
RIPLEY MS 38663

Officer/Director/Trustee Three

LEA BROWNE
SECRETARY
5473 PINE LANE DRIVE
JACKSON MS 39211

Officer/Director/Trustee Four

SHANNAH HUDSON
TREASURER
6714 HWY 69 S
COLUMBUS MS 39702

Officer/Director/Trustee Five

SHANNAH HUDSON
CHIEF EXECUTIVE OFFICER
6714 HWY 69 S
COLUMBUS MS 39702

Organization’s website
Organization’s email MSMETABOLICS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/2019
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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 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 SHANNAH HUDSON
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 2/29/2020

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