FORM 1023-EZ for ASSOCIATION OF MISSISSIPPI PEER SUPPORT SPECIALISTS
| Field | Data |
|---|---|
| EIN | 81-1050254 |
| Case Number | EO-2019056-000667 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ASSOCIATION OF MISSISSIPPI PEER SUPPORT SPECIALISTS |
| Organization’s Mailing Address | 4803 HARRISON CIRCLE |
| City | GULFPORT |
| State | MS |
| ZIP | 39507 |
| Accounting period End | 6 |
| Primary contact name | STEPHANIE STOUT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
STEPHANIE STOUT
EXECUTIVE DIRECTOR
916 WEST CHAMBERS DR
BOONEVILLE MS 38829
Officer/Director/Trustee Two
KIM BENEFIELD
TREASURER
2500 HOOD AVENUE
TUPELO MS 38801
Officer/Director/Trustee Three
JAKE LINTON
BOARD PRESIDENT
5933 ANTLER TRAIL
SOUTHAVEN MS 38671
Officer/Director/Trustee Four
LOIS ONEAL
VICE PRESIDENT
1314 9TH AVENUE NORTH
COLUMBUS MS 39701
Officer/Director/Trustee Five
MONICA WOLTERS
SECRETARY
615 BELLEVUE STREET
CLINTON MS 39056
| Organization’s website | WWW.GOAMPSS.ORG |
|---|---|
| Organization’s email | INFO@GOAMPSS.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/1/15 |
| Organization Incorporation State | MS |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F01 - 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 | STEPHANIE STOUT |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 2/23/19 |
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