FORM 1023-EZ for MISSISSIPPI CRISIS RESPONSE NETWORK

Field Data
EIN 37-1905418
Case Number EO-2019105-000556
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISSISSIPPI CRISIS RESPONSE NETWORK
Organization’s Mailing Address 9642 HIGHWAY 495 SOUTH
City DEKALB
State MS
ZIP 39328
Accounting period End 12
Primary contact name CHESTER G CAUFIELD JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHESTER CAUFIELD JR
OFFICER
9642 HIGHWAY 495 SOUTH
DEKALB MS 39328

Officer/Director/Trustee Two

CARLOS REDMON
INCORPORATOR
21445 EAST EDGEWOOD DR
SAUCIER MS 39574

Officer/Director/Trustee Three

TIMOTHY RUTLEDGE
INCORPORATOR
144 CROSS CREEK DR
MADISON MS 39110

Officer/Director/Trustee Four

KENNETH WHEELER
INCORPORATOR
103 ASHMONT COURT
TUPELO MS 38801

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/08
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P62 - Victims' Services
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 CHESTER CAUFIELD JR
Signature Title OFFICER
Signature Date 4/12/19

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