FORM 1023-EZ for PHI DELTA KAPPA INTERNATIONAL INC 0075 PINE BELT AREA

Field Data
EIN 37-1563567
Case Number EO-2014287-000206
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PHI DELTA KAPPA INTERNATIONAL INC 0075 PINE BELT AREA
Organization’s Mailing Address 150 SWEET BAY TRAIL
City PETAL
State MS
ZIP 39465
Accounting period End 6
Primary contact name LIESA WEAVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SUE WHITCOMB
PRESIDENT
115 TRUSSEL ROAD
PETAL MS 39465

Officer/Director/Trustee Two

BRENDA THOMAS
SECRETARY
2806 LARAMIE CIRCLE
HATTIESBURG MS 39402-2426

Officer/Director/Trustee Three

LIESA WEAVER
TREASURER
150 SWEET BAY TRAIL
PETAL MS 39465

Officer/Director/Trustee Four

BITSY BROWN MILLER
FOUNDATION REPRESENTATIVE
498 TUSCAN AVE
HATTIESBURG MS 39401-5461

Officer/Director/Trustee Five

JUNE HORNSBY
VP FOR ACTIVITIES AND PROGRAMS
62 SHADY LANE
HATTIESBURG MS 39401-5461

Organization’s website WWW.PDKINTL.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/2006
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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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