FORM 1023-EZ for DIBERVILLE GATEWAY GROUP

Field Data
EIN 47-2364714
Case Number EO-2015322-000173
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DIBERVILLE GATEWAY GROUP
Organization’s Mailing Address PO BOX 6753
City D'IBERVILLE
State MS
ZIP 39640
Accounting period End 12
Primary contact name BRIAN SIMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIAN SIMS
VICE PRESIDENT
17278 COVENTRY ESTATES
D'IBERVILLE MS 39540

Officer/Director/Trustee Two

DESIREE MARQUEZ
SECRETARY
3147 BIG RIDGE RD
D'IBERVILLE MS 39540

Officer/Director/Trustee Three

TRACY MORGAN
PRESIDENT
11311 CLINTON LANE
D'IBERVILLE MS 39540

Officer/Director/Trustee Four

LATISHA WIZNEWSKI
TREASURER
17154 PALM RIDGE RD
D'IBERVILLE MS 39540

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/2014
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S21 - Community Coalitions
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 Yes
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 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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