FORM 1023-EZ for OMEGA PSI PHI FRATERNITY OMEGA MU MU CHAPTER

Field Data
EIN 84-2414630
Case Number EO-2019199-000428
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OMEGA PSI PHI FRATERNITY OMEGA MU MU CHAPTER
Organization’s Mailing Address POST OFFICE BOX 489
City PLANTERSVILLE
State MS
ZIP 38862
Accounting period End 12
Primary contact name RAY SHOEMAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAY SHOEMAKER
CEO/BOARD CHAIRMAN
2533 A MAIN STREET
PLANTERSVILLE MS 38862

Officer/Director/Trustee Two

NAT JONES
VP OPERATIONS/VICE CHAIRMAN
2510 SOUTH GLOSTER
TUPELO MS 38801

Officer/Director/Trustee Three

QUINN BRADLEY
VP FINANCE/TREASURER
960 BARNES CROSSING ROAD
TUPELO MS 38801

Officer/Director/Trustee Four

KENNETH WAYNE
SECRETARY
1877 NORTH CLA-WOOD PLACE
TUPELO MS 38801

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/19
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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 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 RAY SHOEMAKER
Signature Title CEO/BOARD CHAIRMAN
Signature Date 7/16/19

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