FORM 1023-EZ for COALITION FOR A HEALTHY WINSTON COUNTY

Field Data
EIN 45-5358291
Case Number EO-2014340-000170
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COALITION FOR A HEALTHY WINSTON COUNTY
Organization’s Mailing Address 791 ENON RD
City LOUISVILLE
State MS
ZIP 39339
Accounting period End 12
Primary contact name JANICE HOPKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JANICE HOPKINS
PRESIDENT
791 ENON RD
LOUISVILLE MS 39339

Officer/Director/Trustee Two

BRENDA JOHNSON
VICE PRESIDENT
8150 BROOKSVILLE RD
LOUISVILLE MS 39339

Officer/Director/Trustee Three

CAROLYN HAMPTON
SECRETARY
445 HAMPTON RD
LOUISVILLE MS 39339

Officer/Director/Trustee Four

DOROTHY HARPER
TREASURER
104 HILTON STREET
LOUISVILLE MS 39339

Officer/Director/Trustee Five

DORIS HAYES
BOARD MEMMBER
206 SOUTH STREET
LOUISVILLE MS 39339

Organization’s website
Organization’s email COALITIONFORAHEALTHYWINSTONCO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/24/2014
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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 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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