FORM 1023-EZ for R-12 RECOVERY MINISTRIES

Field Data
EIN 47-4493458
Case Number EO-2015201-000231
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name R-12 RECOVERY MINISTRIES
Organization’s Mailing Address 1017 JACKSON STREET
City VICKSBURG
State MS
ZIP 39183
Accounting period End 12
Primary contact name TODD BOOLOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DANIEL EDNEY
DIRECTOR
118 CARLTON PLACE
VICKSBURG MS 39180

Officer/Director/Trustee Two

JAMES KAREL
DIRECTOR
1326 CLAY STREET
VICKSBURG MS 39180

Officer/Director/Trustee Three

TREY SMITH
DIRECTOR
811 SHERMAN AVENUE
VICKSBURG MS 39183

Officer/Director/Trustee Four

SCOTT PHIPPS
DIRECTOR
1831 EDNA DRIVE
VICKSBURG MS 39180

Officer/Director/Trustee Five

RICHARD M CALDWELL
DIRECTOR
1201 ADAMS STREET
VICKSBURG MS 39183

Organization’s website
Organization’s email DPEDNEY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/2015
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L25 - Housing Rehabilitation
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 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
Signature Title
Signature Date

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