FORM 1023-EZ for DIABETES COALITION OF MISSISSIPPI
| Field | Data |
|---|---|
| EIN | 81-3169018 |
| Case Number | EO-2016253-000289 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | DIABETES COALITION OF MISSISSIPPI |
| Organization’s Mailing Address | 31 WOODGREEN PLACE |
| City | MADISON |
| State | MS |
| ZIP | 39110 |
| Accounting period End | 12 |
| Primary contact name | RYAN KELLY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BRIDGETT BOOKER
CHAIR
7083 PEPPERTREE LANE
MONTGOMERY AL 36117
Officer/Director/Trustee Two
JULIE GROGAN
SECRETARY
731 DAVIS CROSSING ROAD
CANTON MS 39046
Officer/Director/Trustee Three
RYAN KELLY
DIRECTOR
64 GETTYSBURG WAY
HATTIESBURG MS 39402
Officer/Director/Trustee Four
DEBBIE COLBY
VICE-CHAIR
12500 VILLAGE AVENUE EAST
BILOXI MS 39532
Officer/Director/Trustee Five
SHENETTA DRONE
PARLIAMENTARIAN
435 STONEVILLE ROAD
STONEVILLE MS 38776
| Organization’s website | WWW.DIABETESCOALITION-MS.ORG |
|---|---|
| Organization’s email | INFO@DCM-MS.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/1/2015 |
| Organization Incorporation State | MS |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B03 - Professional Societies, Associations |
| 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 | |
| Signature Title | |
| Signature Date |
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