FORM 1023-EZ for TRI-STATE ASSISTANCE CORP

Field Data
EIN 85-2384391
Case Number EO-2020230-000410
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRI-STATE ASSISTANCE CORP
Organization’s Mailing Address 9495 PERIDOT AVE
City HESPERIA
State CA
ZIP 92344
Accounting period End 12
Primary contact name TYESHA HARDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TYESHA HARDEN
PRESIDENT
9495 PERIDOT AVE
HESPERIA CA 92344

Officer/Director/Trustee Two

TAMI SULLIVAN
DIRECTOR
4404 EXLEY CT
LOUISVILLE KY 40211

Officer/Director/Trustee Three

BRENDA LONGMIRE
DIRECTOR
3935 LA SIERRA 41
RIVERSIDE CA 92505

Organization’s website WWW.T-SA.ORG
Organization’s email INFO@T-SA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/2020
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A70 - Humanities Organizations
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 Yes
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 TYESHA HARDEN
Signature Title PRESIDENT
Signature Date 8/13/2020

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