FORM 1023-EZ for DWELL

Field Data
EIN 83-2622735
Case Number EO-2019338-000237
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DWELL
Organization’s Mailing Address 1933 OLD BAY SPRINGS ROAD
City LAUREL
State MS
ZIP 39440
Accounting period End 12
Primary contact name LISA COCHRAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA COCHRAN
DIRECTOR
1933 OLD BAY SPRINGS ROAD
LAUREL MS 39440

Officer/Director/Trustee Two

MIKE COCHRAN
SECRETARY
1933 OLD BAY SPRINGS ROAD
LAUREL MS 39440

Officer/Director/Trustee Three

KARLYN PUGH
BOARD MEMBER
247 MAXEY ROAD
LAUREL MS 39443

Officer/Director/Trustee Four

KELLY PUGH
BOARD MEMBER
247 MAXEY ROAD
LAUREL MS 39443

Officer/Director/Trustee Five

ROCHELLE SMITH
BOARD MEMBER
2004 WANSLEY ROAD LOT 2
LAUREL MS 39443

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/26/18
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 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 LISA COCHRAN
Signature Title DIRECTOR
Signature Date 12/2/19

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