FORM 1023-EZ for AGRI-HEALTH
| Field | Data |
|---|---|
| EIN | 84-4010588 |
| Case Number | EO-2019353-000359 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | AGRI-HEALTH |
| Organization’s Mailing Address | 7622 BIDWELL ROAD |
| City | JOELTON |
| State | TN |
| ZIP | 37080 |
| Accounting period End | 12 |
| Primary contact name | ROLANDA LISTER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ROLANDA LISTER
DR.
7622 BIDWELL ROAD
JOELTON TN 37080
Officer/Director/Trustee Two
GOLY STANDIFER
MR
7622 BIDWELL ROAD
JOELTON TN 37080
Officer/Director/Trustee Three
ROBERT LISTER
MR.
1204 STEVEN SPRINGS ROAD
JOELTON TN 37080
Officer/Director/Trustee Four
CONSTANCE LISTER
MRS.
1204 STEVEN SPRINGS ROAD
JOELTON TN 37080
Officer/Director/Trustee Five
ZEPHON LISTER
DR.
310 WINDYRIDGE GLEN
ESCONDIDO CA 92026
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/17/2019 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | K99 - Food, Agriculture, and Nutrition N.E.C. |
| 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 | Yes |
| Donation of funds | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | Yes |
| Unrelated Gross Income $1,000 or More | Yes |
| 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 | ROLANDA LISTER |
| Signature Title | DR. |
| Signature Date | 12/17/2019 |
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