FORM 1023-EZ for GULF COAST STORM

Field Data
EIN 83-3038858
Case Number EO-2019071-000695
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GULF COAST STORM
Organization’s Mailing Address 13960 MADDIE CIR
City DIBERVILLE
State MS
ZIP 39540
Accounting period End 12
Primary contact name ERNEST SURBER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERNEST SURBER
DIRECTOR
13960 MADDIE CIR
DIBERVILLE MS 39540

Officer/Director/Trustee Two

CHONTEE SURBER
ADMINISTRATOR
13960 MADDIE CIR
DIBERVILLE MS 39540

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/19
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 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 CHONTEE SURBER
Signature Title ADMINISTRATOR
Signature Date 3/7/19

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