FORM 1023-EZ for MS DELTA HOUSING PROGRAM INC

Field Data
EIN 72-1389853
Case Number EO-2018337-000249
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MS DELTA HOUSING PROGRAM INC
Organization’s Mailing Address 200 E WASHNGTON ST SUITE 120
City GREENWOOD
State MS
ZIP 38930
Accounting period End 12
Primary contact name PEGGY CLAYBORNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JORDAN WALKER
PRESIDENT
1547 CENTRAL STREET
JACKSON MS 39209

Officer/Director/Trustee Two

JUDY HARRIS-BROWN
SECRETARY
1108 MISSISSIPPI AVENUE
GREENWOOD MS 38930

Officer/Director/Trustee Three

ETHEL WASHINGTON
TREASURE
124 TAFT STREET
GREENWOOD MS 38930

Officer/Director/Trustee Four

LOUISE MCCOY
BOARD MEMBER
215 GROVER CLEVELAND CIRCLE
JACKSON MS 39213

Officer/Director/Trustee Five

PEGGY CLAYBORNE
EXECUTIVE DIRECTOR
106 LUCKETT STREET
GREENWOOD MS 38930

Organization’s website WWW.AVA-HOMECARESERVICES,COM
Organization’s email PEGGYCLAYBORNE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/97
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L20 - Housing Development, Construction, Management
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PEGGY CLAYBORNE
Signature Title EXECUTIVE DIRECTOR
Signature Date 11/29/18

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