FORM 1023-EZ for THE PLACE OF COMFORT ASSISTED LIVING INC

Field Data
EIN 83-1556891
Case Number EO-2018229-000164
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE PLACE OF COMFORT ASSISTED LIVING INC
Organization’s Mailing Address 3419 PARHAM DRIVE
City GRAND PRAIRIE
State TX
ZIP 75053
Accounting period End 5
Primary contact name ANEISA CHAMBERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBRA BRYANT
DIRECTOR
3419 PARHAM DRIVE
GRAND PRAIRIE TX 75052

Officer/Director/Trustee Two

ANEISA CHAMBERS
DIRECTOR
910 REMINGTON RANCH RD
MANSFIELD TX 76063

Officer/Director/Trustee Three

DAVID BRYANT
DIRECTOR
3419 PARHAM DRIVE
BRYANT TX 75052

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P75 - Senior Continuing Care Communities
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 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 ANEISA CHAMBERS
Signature Title DIRECTOR
Signature Date 8/14/18

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