FORM 1023-EZ for ONE SOURCE COMMUNITY SERVICES

Field Data
EIN 85-3834793
Case Number EO-2020317-000628
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ONE SOURCE COMMUNITY SERVICES
Organization’s Mailing Address 4368 WINTERPARK
City MEMPHIS
State TN
ZIP 38141
Accounting period End 12
Primary contact name SHATYRA JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHATYRA JOHNSON
DIRECTOR
4368 WINTERPARK
MEMPHIS TN 38141

Officer/Director/Trustee Two

LASHANA MITCHELL
BOARD MEMBER
4368 WINTERPARK
MEMPHIS TN 38141

Officer/Director/Trustee Three

DANIELLE JOHNSON
TREASURER
4368 WINTERPARK
MEMPHIS TN 38141

Officer/Director/Trustee Four

TAMARA SMITH
SECRETARY
4368 WINTERPARK
MEMPHIS TN 38141

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/2020
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 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 SHATYRA JOHNSON
Signature Title DIRECTOR
Signature Date 11/10/2020

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