FORM 1023-EZ for LULAS ADULT DAY CARE

Field Data
EIN 27-3575282
Case Number EO-2015033-000585
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LULAS ADULT DAY CARE
Organization’s Mailing Address 1408 DAY BOULEVARD
City DALLAS
State TX
ZIP 75203
Accounting period End 12
Primary contact name BARBARA ROSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RAYFORD ROSS
DIRECTORS
128 SPRINGFEILD LANE
DALLAS TX 75165

Officer/Director/Trustee Two

DANNY SHELBY
DIRECTORS
5642 HIGH CREEK
DALLAS TX 75249

Officer/Director/Trustee Three

HORACE SHELBY
DIRECTOR
1535 EXETER AVE
DALLAS TX 75216

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/2015
Organization Incorporation State TX
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: 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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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
Signature Title
Signature Date

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