FORM 1023-EZ for ST JUDE ON THE GULF COAST INCORPORATION

Field Data
EIN 47-1501287
Case Number EO-2014240-000492
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ST JUDE ON THE GULF COAST INCORPORATION
Organization’s Mailing Address 11898 HALCYON LOOP
City DAPHNE
State AL
ZIP 36526
Accounting period End 9
Primary contact name VANESSA ARNOLD SHOOTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ASHLEIGH LONG
TREASURER
604 SUTHERLAND DRIVE
CHICKASAW AL 36611

Officer/Director/Trustee Two

VICKIE BAILEY
SECRETARY
105 CRAIG DRIVE
SARALAND AL 36571

Officer/Director/Trustee Three

WEBB JACKSON
CHAIR
11898 HALCYON LOOP
DAPHNE AL 36526

Officer/Director/Trustee Four

FARA MIDDLETON
CO-CHAIR
15486 ROGERS DRIVE
CHUNCHULA AL 36521

Officer/Director/Trustee Five

VANESSA SHOOTS
ATTORNEY
56 ST JOSEPH ST STE 1311
MOBILE AL 36602

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2014
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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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