FORM 1023-EZ for OMEGA PSI PHI FRATERNITY INC STATEOF MISSISSIPPI ORGANIZATION

Field Data
EIN 64-0766246
Case Number EO-2015267-000245
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OMEGA PSI PHI FRATERNITY INC STATEOF MISSISSIPPI ORGANIZATION
Organization’s Mailing Address 218 SWAN LAKE DRIVE
City JACKSON
State MS
ZIP 39212
Accounting period End 10
Primary contact name ALVIN JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEROME GLADNEY
PRESIDENT
2945 ANGELA CIRCLE
JACKSON MS 39209

Officer/Director/Trustee Two

ALVIN JACKSON
VP
218 SWAN LAKE DRIVE
JACKSON MS 39212

Officer/Director/Trustee Three

WILTON JACKSON
TREASURE
945 W RIDGE DRIVE
JACKSON MS 39209

Organization’s website
Organization’s email SPRING83DOG@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/1991
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y40 - Fraternal Beneficiary Societies
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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