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Final Report
Upon approval of this form, this organization's registration will be terminated in Mississippi.
FEIN
:
Charity Registration Number
:
Organization Name
:
State of Incorporation
:
Expiration Date
:
Financial Statement
All values must be rounded to the nearest dollar.
*
Most Recently Completed Fiscal Year End
*
RECEIPTS AND INCOME
Contributions
A reviewed financial statement is required and must be uploaded later in the filing process.
An audited financial statement is required and must be uploaded later in the filing process.
Click to add a Contribution Income Item
Description
Amount
Other Income
Click to add an Other Income Item
Description
Amount
*
TOTAL RECEIPTS AND INCOME
$
*
EXPENSES
*
PROGRAM SERVICES
$
Itemize by category the amount disbursed for each major purpose in Program Services.
Click to enter Program Service expense details
Description
Amount
*
ADMINISTRATION (MANAGEMENT AND GENERAL)
$
*
FUNDRAISING
$
*
TOTAL EXPENSES
$
*
Was joint cost reported on Line 26, Page 10 of the IRS Form 990?
Yes
No
List joint costs reported in program services from a combined educational campaign and fundraising solicitation.
*
Total Amount before Allocation
$
*
Amount allocated to Program Services
$
*
Amount allocated to Fundraising
$
*
Amount allocated to Management and General
$
Please click 'Save and Continue' after completing this section
Charity Operations
*
Is the charity domestic? (Incorporated in the state of Mississippi)
Yes
No
*
Has the charity dissolved its operations?
Yes
No
An attachment of the Articles of Dissolution must be uploaded later in the filing process.
An attachment of the certified Board Minutes reflecting Dissolution must be uploaded later in the filing process.
An attachment of the list of Officers and Trustees of the Corporation including Phone Numbers and Addresses must be uploaded later in the filing process.
An attachment of the signed Statement by an Officer of the Corporation providing details of the final distribution of assets must be uploaded later in the filing process.
An attachment of the signed Statement by an Officer of the Charity certifying that the organization has ceased charitable solicitations within the state must be uploaded later in the filing process.
Please click 'Save and Continue' after completing this section
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