FORM 1023-EZ for GOOD SAMARITAN EDUCATION AND SENIORCARE PROGRAM
| Field | Data |
|---|---|
| EIN | 85-3612983 |
| Case Number | EO-2020315-000061 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | GOOD SAMARITAN EDUCATION AND SENIORCARE PROGRAM |
| Organization’s Mailing Address | 8368 KINES RD |
| City | WARRENTON |
| State | VA |
| ZIP | 20187-8316 |
| Accounting period End | 12 |
| Primary contact name | LISA TINES |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LISA TINES
PRESIDENT
8368 KINES RD
WARRENTON VA 20187
Officer/Director/Trustee Two
ANGELA DAVISON
VICE PRESIDENT
4629 FREESTATE ROAD
MARSHALL VA 20115-3036
Officer/Director/Trustee Three
TARA HANCOCK
SECRETARY
7640 MOVERN LANE
WARRENTON VA 20187-4727
Officer/Director/Trustee Four
LARRY WASHINGTON
TRUSTEE
10623 RAMEY ROAD
MARSHALL VA 20115-3036
| Organization’s website | |
|---|---|
| Organization’s email | LISATINES@ICLOUD.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/8/2020 |
| Organization Incorporation State | VA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B90 - Educational Services and Schools - Other |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes Scientific: No Literary: Yes 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 | LISA TINES |
| Signature Title | PRESIDENT |
| Signature Date | 11/8/2020 |
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