FORM 1023-EZ for GET COVERED MISSISSIPPI

Field Data
EIN 47-3513049
Case Number EO-2018150-000209
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GET COVERED MISSISSIPPI
Organization’s Mailing Address 1775 MEMPHIS STREET SUITE B
City HERNANDO
State MS
ZIP 38632
Accounting period End 9
Primary contact name MICHAEL MINOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUDY BELUE
CHAIR
4408 MCINGVALE ROAD
HERNANDO MS 38632

Officer/Director/Trustee Two

WILLIAM REYNOLDS
SECRETARY TREASURER
4295 THUNDERSTONE COVE
HERNANDO MS 38632

Officer/Director/Trustee Three

MICHAEL MINOR
VICE-CHAIR
1775 MEMPHIS STREET SUITE B
HERNANDO MS 38632

Organization’s website WWW.GETCOVEREDMS.ORG
Organization’s email INFO@GETCOVEREDMS.OLRG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/15
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S21 - Community Coalitions
Organization’s purpose Charitable: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHAEL MINOR
Signature Title VICE-CHAIR
Signature Date 5/24/18
EIN 47-3513049
Case Number EO-2015085-000608
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GET COVERED MISSISSIPPI
Organization’s Mailing Address 1989 OAK TREE COVE - SUITE C
City HERNANDO
State MS
ZIP 38632
Accounting period End 9
Primary contact name ANISE JEFFERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOE SMITH
PRESIDENT
481 BAYOU ROAD
DREW MS 38737

Officer/Director/Trustee Two

JUDY BELUE
VICE-PRESIDENT
4410 MCINGVALE ROAD
HERNANDO MS 38632

Officer/Director/Trustee Three

WILLIAM REYNOLDS
SECRETARY
1989 OAK TREE COVE - SUITE C
HERNANDO MS 38632

Organization’s website WWW.GETCOVEREDMS.ORG
Organization’s email INFO@GETCOVEREDMS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2015
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
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 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
Signature Title
Signature Date

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