FORM 1023-EZ for SINGING RIVER HOSPITAL AUXILIARY

Field Data
EIN 64-0623887
Case Number EO-2019036-000646
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SINGING RIVER HOSPITAL AUXILIARY
Organization’s Mailing Address 8109 OLD STAGE RD
City MOSS POINT
State MS
ZIP 39562
Accounting period End 12
Primary contact name GAIL NICHOLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOY MANGUM
PRESIDENT
2809 DENNY AVE
PASCAGOULA MS 39581

Officer/Director/Trustee Two

MARTHA EDWARDS
VICE PRESIDENT
2809 DENNY AVE
PASCAGOULA MS 39581

Officer/Director/Trustee Three

GAIL NICHOLSON
TREASURER
2809 DENNY AVE
PASCAGOULA MS 39581

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/19/88
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E21 - Community Health Systems
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GAIL NICHOLSON
Signature Title TREASURER
Signature Date 1/19/19

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