FORM 1023-EZ for GULFPORT COLUMBIAN HOME FOUNDATION INC

Field Data
EIN 81-5000067
Case Number EO-2017019-000459
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GULFPORT COLUMBIAN HOME FOUNDATION INC
Organization’s Mailing Address PO BOX 1583
City GULFPORT
State MS
ZIP 39502-1583
Accounting period End 12
Primary contact name ANDREW T HURST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW HURST
PRESIDENT
414 CARIBE PLACE N
GULFPORT MS 39507

Officer/Director/Trustee Two

ROBERT FLAGG
VICE PRESIDENT
43 39TH STREET
GULFPORT MS 39507

Officer/Director/Trustee Three

RICHARD BARTLETT
SECRETARY
712 AUGUSTINE DRIVE
GULFPORT MS 39507

Officer/Director/Trustee Four

MICHAEL GUEL
TREASURER
22 COLONEL WINK DRIVE
GULFPORT MS 39507

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2017
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y40 - Fraternal Beneficiary Societies
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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
Signature Title
Signature Date

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