FORM 1023-EZ for MISSISSIPPI REHABILITATION AND MOVEMENT INSTITUTE

Field Data
EIN 81-4357844
Case Number EO-2016315-000338
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISSISSIPPI REHABILITATION AND MOVEMENT INSTITUTE
Organization’s Mailing Address 1601 NORTH FRONTAGE RD SUITE A
City VICKSBURG
State MS
ZIP 39180
Accounting period End 12
Primary contact name ANDREA TOWER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA TOWER
DIRECTOR
116 WILLOW CREEK CIRCLE
VICKSBURG MS 39183

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/8/2016
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: No
Religious: No
Educational: Yes
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 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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