FORM 1023-EZ for DAVE WASHINGTON MINISTRIES

Field Data
EIN 81-0893710
Case Number EO-2016004-000238
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DAVE WASHINGTON MINISTRIES
Organization’s Mailing Address 360 ST AUGUSTINE DR
City MADISON
State MS
ZIP 39110
Accounting period End 12
Primary contact name DAVE WASHINGTON JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVE WASHINGTON
PRESIDENT
360 ST AUGUSTINE DR
MADISON MS 39110

Officer/Director/Trustee Two

DARKENYA WALLER
VICE PRESIDENT/TREASURER
709 GLENN OAKS DR
FRANKLIN TN 37067

Officer/Director/Trustee Three

CARRI PILLERS
SECRETARY
4305 HANGING MOSS RD
JACKSON MS 39206

Officer/Director/Trustee Four

DIANNE WASHINGTON
BOARD MEMBER
360 ST AUGUSTINE DR
MADISON MS 39110

Officer/Director/Trustee Five

RILANDA MCGILL
BOARD MEMBER
334 SUMMERVILLE DR
MADISON MS 39110

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/2015
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
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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