FORM 1023-EZ for MID SOUTH ADVISORY COUNCIL ON MILITARY EDUCATION

Field Data
EIN 46-4166554
Case Number EO-2015236-000221
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MID SOUTH ADVISORY COUNCIL ON MILITARY EDUCATION
Organization’s Mailing Address 202 BASTOGNE AVENUE ROOM 121
City FORT CAMPBELL
State KY
ZIP 42223
Accounting period End 12
Primary contact name PATRICIA HUNT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATRICIA HUNT
PRESIDENT
202 BASTOGNE AVE RM 121
FORT CAMPBELL KY 42223

Officer/Director/Trustee Two

REGINA WATKINS
VICE PRESIDENT
202 BASTOGNE AVE RM 121
FORT CAMPBELL KY 42223

Officer/Director/Trustee Three

KATHLEEN AKERS
SECRETARY
202 BASTOGNE AVE RM 121
FORT CAMPBELL KY 42223

Officer/Director/Trustee Four

SHARI CARROTHERS ZIEBELL
TREASURER
202 BASTOGNE AVE RM 121
FORT CAMPBELL KY 42223

Officer/Director/Trustee Five

ALLISHA LEE
DIGITAL MEDIA MANAGER
202 BASTOGNE AVE RM 121
FORT CAMPBELL KY 42223

Organization’s website WWW.MIDSOUTHACME.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/2013
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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