FORM 1023-EZ for NOXUBEE COUNTY DIABETES COALITION INC

Field Data
EIN 26-3218697
Case Number EO-2015042-000054
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NOXUBEE COUNTY DIABETES COALITION INC
Organization’s Mailing Address PO BOX 213
City MACON
State MS
ZIP 39341
Accounting period End 12
Primary contact name KATHERINE MICKENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JUDY SPURGEON
PRESIDENT
8936 HWY 388
BROOKSVILLE MS 39739

Officer/Director/Trustee Two

EDDIE HENLEY
VICE PRESIDENT
PO BOX 134
BROOKSVILLE MS 39739

Officer/Director/Trustee Three

JOSEPHINE TATE
SECRETARY
107 E ADAMS ST
MACON MS 39341

Officer/Director/Trustee Four

MARTI KAUFFMAN
TREASURER
PO BOX 295
MACON MS 39341

Officer/Director/Trustee Five

BARBARA HUDGINS
ASST. TREASURER
PO BOX 132
MACON MS 39341

Organization’s website
Organization’s email NOXCNTYDIABETESCOALITION@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2014
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K40 - Nutrition Programs
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 Yes
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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