FORM 1023-EZ for MILLER-BOWIE HEALTH COALITION

Field Data
EIN 87-2847456
Case Number EO-2021273-000305
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MILLER-BOWIE HEALTH COALITION
Organization’s Mailing Address 503 WALNUT ST
City TEXARKANA
State AR
ZIP 71854
Accounting period End 12
Primary contact name MELISSA MULHOLLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA MULHOLLAND
CHAIR
107 ELIZABETH ST
PRESCOTT AR 71857

Officer/Director/Trustee Two

AMANDA BUTLER
CO-SECRETARY
1102 MAIN ST
TEXARKANA TX 75501

Officer/Director/Trustee Three

CINDY MINER
CO-SECRETARY
4425 JEFFERSON AVE
TEXARKANA AR 71854

Officer/Director/Trustee Four

KRISTIE WRIGHT
TREASURER
602 MAIN ST
TEXARKANA TX 75501

Organization’s website NA
Organization’s email MILLERBOWIEHEALTH@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2007
Organization Incorporation State AR
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: 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 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 MELISSA MULHOLLAND
Signature Title CHAIR
Signature Date 9/28/2021

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