FORM 1023-EZ for PINE BELT AERO EAA - CHAPTER 1594

Field Data
EIN 81-4716287
Case Number EO-2018044-000209
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PINE BELT AERO EAA - CHAPTER 1594
Organization’s Mailing Address 2122 OAK GROVE ROAD SUITE E-1
City HATTIESBURG
State MS
ZIP 39402
Accounting period End 12
Primary contact name ROBERT EDENFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT EDENFIELD
PRESIDENT
2122 OAK GROVE ROAD SUITE F-1
HATTIESBURG MS 39402

Officer/Director/Trustee Two

SAM CLINTON
VICE PRESIDENT
104 SILVERPOINT LANE
HATTIESBURG MS 39402

Officer/Director/Trustee Three

ANNA EDENFIELD
SECRETARY/TREASURER
2122 OAK GROVE ROAD SUITE F-1
HATTIESBURG MS 39402

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/16
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 ROBERT EDENFIELD
Signature Title PRESIDENT
Signature Date 2/9/18

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