FORM 1023-EZ for FRIENDS OF NORTH MISSISSIPPI STATE HOSPITAL

Field Data
EIN 64-0878534
Case Number EO-2017066-000046
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF NORTH MISSISSIPPI STATE HOSPITAL
Organization’s Mailing Address 1937 BRIAR RIDGE ROAD
City TUPELO
State MS
ZIP 38804-5963
Accounting period End 12
Primary contact name JO STEGALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA WALKER
PRESIDENT
1937 BRIAR RIDGE ROAD
TUPELO MS 38804-5963

Officer/Director/Trustee Two

WANDA ARMSTRONG
VICE-PRESIDENT
1937 BRIAR RIDGE ROAD
TUPELO MS 38804-5963

Officer/Director/Trustee Three

CRAIG ALLEN
SECRETARY
1937 BRIAR RIDGE ROAD
TUPELO MS 38804-5963

Officer/Director/Trustee Four

JO STEGALL
TREASURER
1937 BRIAR RIDGE ROAD
TUPELO MS 38804-5963

Officer/Director/Trustee Five

LORI DICKERSON
BOARD MEMBER
1937 BRIAR RIDGE ROAD
TUPELO MS 38804-5963

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2017
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F11 - Single Organization Support
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 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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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