FORM 1023-EZ for PREEMIE PROJECT OF DOTHAN INC

Field Data
EIN 84-5079655
Case Number EO-2021063-000855
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PREEMIE PROJECT OF DOTHAN INC
Organization’s Mailing Address 2802 POPLAR CIRCLE
City DOTHAN
State AL
ZIP 36301
Accounting period End 12
Primary contact name MANDY BOOTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MANDY BOOTH
PRESIDENT/DIRECTOR
2802 POPLAR CIRCLE
DOTHAN AL 36301

Officer/Director/Trustee Two

CHARLES BOOTH
TREASURER/DIRECTOR
2802 POPLAR CIRCLE
DOTHAN AL 36301

Officer/Director/Trustee Three

BILLY WATKINS
SECRETARY/DIRECTOR
2802 POPLAR CIRCLE
DOTHAN AL 36301

Officer/Director/Trustee Four

HOPE WEBB
BOARD MEMBER/DIRECTOR
2802 POPLAR CIRCLE
DOTHAN AL 36301

Officer/Director/Trustee Five

DERRICK OLVER
BOARD MEMBER/DIRECTOR
2802 POPLAR CIRCLE
DOTHAN AL 36301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/2020
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 MANDY BOOTH
Signature Title PRESIDENT/DIRECTOR
Signature Date 12/30/2020

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