| Field | Data |
|---|---|
| EIN | 43-2078215 |
| Case Number | EO-2019259-001105 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CREATIVE COMMUNITY LIVING INC |
| Organization’s Mailing Address | PO BOX 245 |
| City | SAUCIER |
| State | MS |
| ZIP | 39574 |
| Accounting period End | 12 |
| Primary contact name | BRENDA HAVENS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
BRENDA HAVENS
DIRECTOR
17374 SUMMERDALE DRIVE
SAUCIER MS 39574
SHEILA MILES
VICE PRESIDENT
207 FOREST AVE
RIDGELAND MS 39157
LEAH CLEMONS
SECRETARY
1007 NATIONAL ST
VICKSBURG MS 39130
CRYSTAL RONNIE HAVENS
TREASURE
17374 SUMMERDALE DR
SAUCIER MS 39574
| Organization’s website | |
|---|---|
| Organization’s email | BHAVENSCCL@ATT.NET |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/3/04 |
| Organization Incorporation State | MS |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P80 - Services to Promote the Independence of Specific Populations |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | Yes |
| 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | Yes |
| Correctness Declaration | Yes |
| Signature Name | BRENDA HAVENS |
| Signature Title | DIRECTOR |
| Signature Date | 9/13/19 |
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