FORM 1023-EZ for SM INDEPENDENT

Field Data
EIN 86-1676679
Case Number EO-2021097-001575
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SM INDEPENDENT
Organization’s Mailing Address 14120 BIG JOHN ROAD
City BILOXI
State MS
ZIP 39532-8400
Accounting period End 12
Primary contact name JOHN DUNLAP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN DUNLAP
EXECUTIVE DIRECTOR
14120 BIG JOHN ROAD
BILOXI MS 39532-8400

Officer/Director/Trustee Two

BARBARA LEE
SECRETARY
6400 DOVE LANE
OCEAN SPRINGS MS 39564

Officer/Director/Trustee Three

KATY STALINS
TREASURER
16105 PEAPATCH ROAD
BILOXI MS 39532

Officer/Director/Trustee Four

SPENCER DAVIS
CAPTION HEAD
202 N 38TH ST
HATTIESBURG MS 39401

Organization’s website HTTP://STMARTININDEPENDENT.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2021
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6C - Music Groups, Bands, Ensembles
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 JOHN DUNLAP
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/17/2021

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