FORM 1023-EZ for KIMBERLYS PLACE

Field Data
EIN 82-5288802
Case Number EO-2018120-000642
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIMBERLYS PLACE
Organization’s Mailing Address 2203 TAYLOR AVENUE
City PASCAGOULA
State MS
ZIP 39567-5856
Accounting period End 11
Primary contact name ANTHONY GREGORY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARSHA TAYLOR
PRESIDENT/CEO
2203 TAYLOR AVENUE
PASCAGOULA MS 39567-5856

Officer/Director/Trustee Two

ANTHONY GREGORY
VICE PRESIDENT/EXECUTIVE DIRECTOR
7747 S LANGLEY
CHICAGO IL 60619-2910

Officer/Director/Trustee Three

ELEANOR TAIT
TREASURER
5331 MARTIN LUTHER KING DRIVE
MOSS POINT MS 39563-4537

Officer/Director/Trustee Four

DELILAH JACKSON
SECRETARY
2203 TAYLOR AVENUE
PASCAGOULA MS 39567-5856

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/16
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANTHONY GREGORY
Signature Title VICE PRESIDENT/EXECUTIVE DIRECTOR
Signature Date 4/27/18

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