FORM 1023-EZ for FOOTPRINT DIAPER BANK

Field Data
EIN 85-3671018
Case Number EO-2021123-000198
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOOTPRINT DIAPER BANK
Organization’s Mailing Address 20 PR 3151 APT 1
City OXFORD
State MS
ZIP 38655
Accounting period End 12
Primary contact name KIARA COLLIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIARA COLLIER
EXECTIVE DIRECTOR
20 PR 3151 APT 1
OXFORD MS 38655

Officer/Director/Trustee Two

LORETA BANDIERA
PRESIDENT
42 HIGHLAND AVENUE
BUCKEYE LAKE OH 43008

Officer/Director/Trustee Three

JAMIE WILLIAMS
TREASURER
1019 W OHEA
GREENVILLE MS 38701

Officer/Director/Trustee Four

VICTORIA WILLIAMS
SECRETARY
2023 DANIELLE PARK DRIVE SW APT 50
DECATUR AL 35603

Officer/Director/Trustee Five

CARLA MARTINEZ
MEMBER
1119 VILLA BONITA COURT
CALERICO CA 92231

Organization’s website
Organization’s email KIARACOLLIER2016@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/2020
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 KIARA COLLIER
Signature Title EXECTIVE DIRECTOR
Signature Date 4/29/2021

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