FORM 1023-EZ for BARBARA S ADULT DAY CARE

Field Data
EIN 32-0179989
Case Number EO-2017093-000215
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BARBARA S ADULT DAY CARE
Organization’s Mailing Address 4736 MORNING GLORY COURT
City MEMPHIS
State TN
ZIP 38118
Accounting period End 12
Primary contact name MS BARBARA JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DR TINA EDWARDS
PRESIDENT
5006 GERTRUDE DRIVE
MEMPHIS TN 38125

Officer/Director/Trustee Two

MS LISA PHILLIPS
VICE PRESIDENT
6327 KIRBY TOWNS DRIVE
MEMPHIS TN 38115

Officer/Director/Trustee Three

MS MICHELE CALVIN
SECRETARY
1036 E CABANA CIRCLE
MEMPHIS TN 38107

Officer/Director/Trustee Four

MS ANITA BURKS
TREASURER
1588 WANDA STREET
MEMPHIS TN 38111

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 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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