FORM 1023-EZ for ST JOHN CARES

Field Data
EIN 81-5407461
Case Number EO-2017054-000363
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ST JOHN CARES
Organization’s Mailing Address PO BOX 3
City INDIANOLA
State MS
ZIP 38751
Accounting period End 12
Primary contact name MR WILLIE BRADFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARL DAVIS
BOARD MEMBER
636 WOOLFOLK ROAD
SENATOBIA MS 38668

Officer/Director/Trustee Two

DEWAYNE CHAPMAN
BOARD MEMBER
4321 SOUTH OLIVE ST APT 74
PINE BLUFF AK 71603

Officer/Director/Trustee Three

ANTONIO HAWKINS
BOARD MEMBER
PO BOX 569
CHARLESTON MS 38921

Officer/Director/Trustee Four

REYCARDO BRADFORD
BOARD MEMBER
110 LITTLE HUBBARD ROAD
CHARLESTON MS 38931

Officer/Director/Trustee Five

LEATHA BROWN
BOARD MEMBER
PO BOX 402
INDIANOLA MS 38751

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/29/2016
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P44 - Homemaker, Home Health Aide
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 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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