FORM 1023-EZ for TRINITY A PLACE TO HEAL INC

Field Data
EIN 82-1550818
Case Number EO-2017138-000452
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRINITY A PLACE TO HEAL INC
Organization’s Mailing Address 3334 BRECKINRIDGE LANE
City LOUISVILLE
State KY
ZIP 40220
Accounting period End 12
Primary contact name K WASHINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA BROWN
EXECUTIVE DIRECTOR
3334 BRECKINRIDGE LANE
LOUISVILLE KY 40220

Officer/Director/Trustee Two

ARNETTE JOHNSON
PRESIDENT
735 EASTERN PKWY
LOUISVILLE KY 40206

Officer/Director/Trustee Three

SHERYL HOWARD
VPRESIDENT
2975 W MADISON
LOUISVILLE KY 40211

Officer/Director/Trustee Four

SHIRLEY KING
SECRETARY/TREASURER
1609 OLIVE
LOUISVILLE KY 40211

Organization’s website
Organization’s email TRINITYPL17@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/2017
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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