FORM 1023-EZ for COMMUNITY INVOLVEMENT COMMITTEE

Field Data
EIN 41-2204226
Case Number EO-2019323-000302
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY INVOLVEMENT COMMITTEE
Organization’s Mailing Address 774 COURT STREET
City COLDWATER
State MS
ZIP 38618
Accounting period End 12
Primary contact name WAYNE HAYES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WAYNE HAYES
PRESIDENT
774
COLDWATER MS 38618

Officer/Director/Trustee Two

KEITH MACK
VICE CHAIRPERSON
775 COURT STREET
COLDWATER MS 38618

Officer/Director/Trustee Three

CHRIS PASLEY
TREASURER
PO BOX 176
COLDWATER MS 38618

Officer/Director/Trustee Four

JACKOLYN HAYES
SECRETARY
PO BOX 679
COLDWATER MS 38618

Officer/Director/Trustee Five

LINDA MCADORY
VICE SECRETARY
PO BOX 52
COLDWATER MS 38618

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/06
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
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 WAYNE HAYES
Signature Title PRESIDENT
Signature Date 11/17/19

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