FORM 1023-EZ for MS ADOPT A HERO INC
| Field | Data |
|---|---|
| EIN | 81-5371149 |
| Case Number | EO-2017228-000340 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | MS ADOPT A HERO INC |
| Organization’s Mailing Address | 1188 COLE THOMAS RD |
| City | MCCOMB |
| State | MS |
| ZIP | 39648 |
| Accounting period End | 6 |
| Primary contact name | KIMBERLY A PIPER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JAMES STONE III
PRESIDENT/CHAIR
6296 TURNER ROAD
LIBERTY MS 39645
Officer/Director/Trustee Two
JOHN CONERLY III
VICE PRESIDENT/VICE CHAIR
1188 COLE THOMAS ROAD
MCCOMB MS 39648
Officer/Director/Trustee Three
JAKE BURRIS
TREASURER
PO BOX 1058
SUMMIT MS 39666
Officer/Director/Trustee Four
KIMBERLY PIPER
TREASURER
200 THIRD STREET
MCCOMB MS 39648
Officer/Director/Trustee Five
MICHELLE VAN NORMAN
SECRETARY
112 COMMERCE STREET
MCCOMB MS 39648
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/2/2017 |
| Organization Incorporation State | MS |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P12 - Fund Raising and/or Fund Distribution |
| Organization’s purpose | Charitable: Yes Religious: No 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 | 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 | |
| Signature Title | |
| Signature Date |
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