FORM 1023-EZ for JACKSON COUNTY K-9

Field Data
EIN 46-3200564
Case Number EO-2018187-000270
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACKSON COUNTY K-9
Organization’s Mailing Address 9021 WELL RD
City MOSS POINT
State MS
ZIP 39562-6085
Accounting period End 12
Primary contact name ELIZABETH REMICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM DRIGGERS
CHAIR
117 WATER OAKS COVE
OCEAN SPRINGS MS 39564-8483

Officer/Director/Trustee Two

APRIL ZACHARY
VICE CHAIR
18020 GOFF FARM ROAD
MOSS POINT MS 39562-6085

Officer/Director/Trustee Three

KIMBERLY BLACKWELL
SECRETARY
5211 AGRICOLA LATONIA ROAD
LUCEDALE MS 39453-8795

Officer/Director/Trustee Four

ELIZABETH REMICK
TREASURER
9021 WELL ROAD
MOSS POINT MS 39562-6085

Officer/Director/Trustee Five

HAROLD HAWKINS
DIRECTOR
10900 NELSON ROAD
GRAND BAY AL 36541-6003

Organization’s website WWW.JCK9.COM
Organization’s email JCMSK9@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/13
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M23 - Search and Rescue Squads, Services
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 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 ELIZABETH REMICK
Signature Title TREASURER
Signature Date 7/3/18

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