FORM 1023-EZ for THE DESCENDANTS OF SAMUEL AND JANECOOK DAVIS INC

Field Data
EIN 64-0652225
Case Number EO-2016119-000387
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE DESCENDANTS OF SAMUEL AND JANECOOK DAVIS INC
Organization’s Mailing Address POST OFFICE BOX 814
City WOODVILLE
State MS
ZIP 39669-0814
Accounting period End 4
Primary contact name PEYTON C CAVIN CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BERTRAM HAYES-DAVIS
PRESIDENT
PRESERVATION DRIVE
GULFPORT MS 38503

Officer/Director/Trustee Two

JOEL D WEBB
VICE PRESIDENT
40015 WATERMAN ROAD
HOMER AK 99603

Officer/Director/Trustee Three

MRS JOSEPH F A LORBER
SECRETARY
1100 W BEACH BLVD NUMBER 312
PASS CHRISTIAN MS 39571

Officer/Director/Trustee Four

JOHN E KERRIGAN III
TREASURER
2003 AUDUDON STREET
NEW ORLEANS LA 70118

Officer/Director/Trustee Five

ERNESTO CALDEIRA
EXECUTIVE DIRECTOR
POST OFFICE BOX 1056
WOODVILLE MS 39669-1056

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/1977
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A50 - Museum, Museum Activities
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
Signature Title
Signature Date

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