FORM 1023-EZ for OCCUPATIONAL CHAPLAINS ASSOCIATIONINC

Field Data
EIN 81-3031745
Case Number EO-2016179-000219
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OCCUPATIONAL CHAPLAINS ASSOCIATIONINC
Organization’s Mailing Address 264 S VETERANS MEMORIAL BLVD
City TUPELO
State MS
ZIP 38804
Accounting period End 12
Primary contact name RANDY K STERNS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILLIAM DILLON
PRESIDENT / BOARD CHAIR
264 S VETERANS MEMORIAL BLVD
TUPELO MS 38804

Officer/Director/Trustee Two

SIDNEY POE
SECRETARY/TREASURER/DIRECTOR
264 S VETERANS MEMORIAL BLVD
TUPELO MS 38804

Officer/Director/Trustee Three

RAY HAWKINS
DIRECTOR
264 S VETERANS MEMORIAL BLVD
TUPELO MS 38804

Officer/Director/Trustee Four

MARK HATTABAUGH
DIRECTOR
264 S VETERANS MEMORIAL BLVD
TUPELO MS 38804

Organization’s website HTTP://WWW.OCACHAPLAINS.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2016
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 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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