FORM 1023-EZ for POPLAR CHRISTIAN HEALTH SERVICE

Field Data
EIN 90-0599816
Case Number EO-2015128-000549
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POPLAR CHRISTIAN HEALTH SERVICE
Organization’s Mailing Address 111 S HIGHLAND ST STE 137
City MEMPHIS
State TN
ZIP 38111-4640
Accounting period End 6
Primary contact name LOLITA POPLAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LOLITA POPLAR
PRESIDENT AND CEO
111 S HIGHLAND ST STE 137
MEMPHIS TN 38111-4640

Officer/Director/Trustee Two

CARL POPLAR
VICE PRESIDENT AND TREASURER
111 S HIGHLAND ST STE 137
MEMPHIS TN 38111-4640

Organization’s website WWW.POPLARCHRISTIANHEALTHSERVICE.COM
Organization’s email POPLARCHRISTIANHEALTHSERVICE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/2012
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K40 - Nutrition Programs
Organization’s purpose Charitable: No
Religious: Yes
Educational: Yes
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 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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