| Field | Data |
|---|---|
| EIN | 82-1105475 |
| Case Number | EO-2017102-000200 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | THE MISSISSIPPI LYME DISEASE ASSOCIATION |
| Organization’s Mailing Address | 11434 SUMMER LANE ROAD |
| City | BILOXI |
| State | MS |
| ZIP | 39532 |
| Accounting period End | 12 |
| Primary contact name | R SCOTT PIETROWSKI ESQ |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
MONIQUE PIETROWSKI
CHAIR
11434 SUMMER LANE
BILOXI MS 39532
VALERIE LENOX
VICE CHAIR
1961 BRASHER ROAD
BILOXI MS 39532
R SCOTT PIETROWSKI
SECRETARY TREASURER
838 HOWARD AVENUE
BILOXI MS 39530
JULIE PARKER
VICE CHAIR
759 WEST POWELL ROAD
COLLIERVILLE TN 39501
| Organization’s website | MSLYMEDISEASEASSOCIATION.ORG |
|---|---|
| Organization’s email | MONIQUE@PIETROWSKILAW.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/7/2017 |
| Organization Incorporation State | MS |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G80 - Specifically Named Diseases |
| 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 | Yes |
| Compensation of Officer director trustee | No |
| Donation of funds | Yes |
| 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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