FORM 1023-EZ for LIVING LOYAL CARE ASSISTED LIVING INC

Field Data
EIN 85-3200231
Case Number EO-2021216-000365
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVING LOYAL CARE ASSISTED LIVING INC
Organization’s Mailing Address 20998 WEST HAVEN
City SOUTHFIELD
State MI
ZIP 48075
Accounting period End 12
Primary contact name TANESHA SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TANESHA SMITH
EXECUTIVE DIRECTOR
20998 WEST HAVEN
SOUTHFIELD MI 48075

Officer/Director/Trustee Two

KISHA GRAHAM
DIRECTOR
20998 WEST HAVEN
SOUTHFIELD MI 48075

Officer/Director/Trustee Three

KIM FULKS
DIRECTOR
20998 WEST HAVEN
SOUTHFEILD MI 48075

Officer/Director/Trustee Four

PHYLLIS MORGAN
DIRECTOR
20998 WEST HAVEN
SOUTHFIELD MI 48075

Officer/Director/Trustee Five

CHARLTON SMITH
PRESIDENT
20998 WEST HAVEN
SOUTHFIELD MI 48075

Organization’s website
Organization’s email TSMITH.LOYALCARE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E92 - Home Health Care
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 TANESHA SMITH
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/2/2021

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