FORM 1023-EZ for CAMP BAILEY

Field Data
EIN 82-0915686
Case Number EO-2017086-000275
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMP BAILEY
Organization’s Mailing Address 11551 ROAD 101
City UNION
State MS
ZIP 39365-6015
Accounting period End 12
Primary contact name JIM PHILLIPS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVE BURTON
CHAIR
1391 ANDREW MILLING RD
DECATUR MS 39327-9442

Officer/Director/Trustee Two

RYAN BURKES
VICE CHAIR
11590
UNION MS 39365-6015

Officer/Director/Trustee Three

JIM PHILLIPS
TREASURER
12080 ROAD 107
UNION MS 39365-6529

Officer/Director/Trustee Four

NICHOLAS CHAMBERS
BOARD MEMBER
11300 ROAD 101
UNION MS 39365-6016

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/2017
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O55 - Youth Development - Religious Leadership
Organization’s purpose Charitable: No
Religious: Yes
Educational: No
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 No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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