FORM 1023-EZ for STEVOS PLACE COUNSELING CENTER INC

Field Data
EIN 83-3133311
Case Number EO-2019073-000372
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STEVOS PLACE COUNSELING CENTER INC
Organization’s Mailing Address 28510 HWY 15 P O BOX 115
City WALNUT
State MS
ZIP 38683
Accounting period End 12
Primary contact name REBECCA CARTWRIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER SCYOC
BOARD MEMBER
36B COUNTY ROAD 5061
BOONEVILLE MS 38829

Officer/Director/Trustee Two

JUSTIN KIRKMAN
BOARD MEMBER
2210 HWY 4 WEST
RIPLEY MS 38663

Officer/Director/Trustee Three

CODY HODUM
BOARD MEMBER
301 COUNTY ROAD 208
WALNUT MS 38683

Officer/Director/Trustee Four

CASEY ETHRIDGE
BOARD MEMBER
9320 COUNTY ROAD 200
FALKNER MS 38629

Officer/Director/Trustee Five

REBECCA CARTWRIGHT
PRESIDENT/DIRECTOR
1802 9TH STREET
BOONEVILLE MS 38829

Organization’s website
Organization’s email STEVOSPLACE@MAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/19
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P46 - Family Counseling
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name REBECCA CARTWRIGHT
Signature Title PRESIDENT/DIRECTOR
Signature Date 3/12/19

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