FORM 1023-EZ for TRI COUNTY MLK COALITION INC

Field Data
EIN 47-1912193
Case Number EO-2014269-000129
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRI COUNTY MLK COALITION INC
Organization’s Mailing Address 5980 CATCHPENNY RD
City QUANTICO
State MD
ZIP 21856
Accounting period End 12
Primary contact name MICHELLE WALLER CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JESSE BALLARD
PRESIDENT/DIRECTOR
5980 CATCHPENNY RD
QUANTICO MD 21856

Officer/Director/Trustee Two

GEORGE SMITH JR
VICE PRES/DIRECTOR
901 SPRING AVE
SALISBURY MD 21801

Officer/Director/Trustee Three

KATRINA PURNELL
SECRETARY/DIRECTOR
406 MOSS HILL LN UNIT 4
SALISBURY MD 21804

Officer/Director/Trustee Four

MARION BARKLEY
TREASURER/DIRECTOR
1023 N SCHUMAKER DR
SALISBURY MD 21804

Officer/Director/Trustee Five

NORMA LEE BARKLEY
DIRECTOR
1023 N SCHUMAKER DR
SALISBURY MD 21804

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/2014
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A84 - Commemorative Events
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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
Signature Title
Signature Date

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