FORM 1023-EZ for CASA DIGNA INC

Field Data
EIN 83-1800670
Case Number EO-2018253-000333
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CASA DIGNA INC
Organization’s Mailing Address 2851 LAKEWOOD VILLAGE DRIVE
City N LITTLE ROCK
State AR
ZIP 72116
Accounting period End 12
Primary contact name ERICH ZORR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELODY ASHLEY
PRESIDENT
2851 LAKEWOOD VILLAGE DR
N LITTLE ROCK AR 72116

Officer/Director/Trustee Two

JOSHUA MAYFIELD
TREASURER
7207 GALLOP DR
PINE BLUFF AR 71603

Officer/Director/Trustee Three

SUSAN JEGLEY
SECRETARY
3121 HAZY COURT
LITTLE ROCK AR 72227

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/18
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L11 - Single Organization Support
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 Yes
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 MELODY ASHLEY
Signature Title PRESIDENT
Signature Date 9/7/18

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