FORM 1023-EZ for LIBERTY HOUSE OF THEODORE INC

Field Data
EIN 86-3337658
Case Number EO-2021260-000036
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIBERTY HOUSE OF THEODORE INC
Organization’s Mailing Address 6270 HIGHWAY 90
City THEODORE
State AL
ZIP 36582
Accounting period End 12
Primary contact name JUSTIN BURTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN BURTON
EXEC DIRECTOR & PRES
6270 HIGHWAY 90
THEODORE AL 36582

Officer/Director/Trustee Two

LARRY ANDREWS
TREASURER
6270 HIGHWAY 90
THEODORE AL 36582

Officer/Director/Trustee Three

KANDACE KRAPU
SECRETARY
6270 HIGHWAY 90
THEODORE AL 36582

Officer/Director/Trustee Four

APRIL COLQUITT
PROGRAM MGR & DIRECTOR
6270 HIGHWAY 90
THEODORE AL 36582

Officer/Director/Trustee Five

ROBIN WARD
DIRECTOR
11241 POWELL RD
GEORGETOWN SC 29442

Organization’s website WWW.LIBERTYHOUSEOFTHEODORE.ORG
Organization’s email JUSTIN.BURTON@LIBERTYHOUSEOFTHEODORE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2021
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
Organization’s purpose Charitable: No
Religious: No
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 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 JUSTIN BURTON
Signature Title EXEC DIRECTOR & PRES
Signature Date 6/12/2021

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