FORM 1023-EZ for THE MAPALO PROJECT
| Field | Data |
|---|---|
| EIN | 83-1241274 |
| Case Number | EO-2018199-000264 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE MAPALO PROJECT |
| Organization’s Mailing Address | 622 ROCK CREEK ROAD |
| City | HOT SPRINGS |
| State | AR |
| ZIP | 71913 |
| Accounting period End | 4 |
| Primary contact name | DAVID AARON CARROUTH |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DAVID CARROUTH
MD
622 ROCK CREEK ROAD
HOT SPRINGS AR 71913
Officer/Director/Trustee Two
ROBERT SPROLES
PHD
275 LONOKE LANE
BATESVILLE AR 72501
Officer/Director/Trustee Three
TIFFANY STREBECK
RN
2506 ASHLEY 17
HAMBURG AR 71646
Officer/Director/Trustee Four
TIFFANY MCCAIN
PHARMD
155 PARKWAY SQUARE
PEARCY AR 71964
Officer/Director/Trustee Five
JEANETTE HEITKAMP-SIMMONS
RN
106 WEST SKYVIEW ROAD
AUSTIN TX 78752
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/16/18 |
| Organization Incorporation State | AR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X20 - Christian |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | Yes |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | No |
| Disaster relief assistance | Yes |
| 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 | DAVID CARROUTH |
| Signature Title | MD |
| Signature Date | 7/16/18 |
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