FORM 1023-EZ for A PRESENT HELP INDEPENDENT LIVING INC

Field Data
EIN 27-4598154
Case Number EO-2014310-000149
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name A PRESENT HELP INDEPENDENT LIVING INC
Organization’s Mailing Address 1247 GATEMOUTH MOORE RD
City YAZOO CITY
State MS
ZIP 39194
Accounting period End 12
Primary contact name EARNESTINE AUSTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EARNESTINE AUSTIN
PRESIDENT
1112 GRAND AVE
YAZOO CITY MS 39194

Officer/Director/Trustee Two

BOBBY AUSTIN
VICE PRESIDENT
1112 GRAND AVE
YAZOO CITY MS 39194

Officer/Director/Trustee Three

EARLINE OBANNER
DIRECTOR
1410 W 72ND ST
CHICAGO IL 60636

Officer/Director/Trustee Four

KIM OBANNER
TREASURER
528 WILLIAMS ST
YAZOO CITY MS 39194

Officer/Director/Trustee Five

CAROLYN GUNN
SECRETARY
6832 S HERMITAGE AVE
CHICAGO IL 60636

Organization’s website
Organization’s email APRESENTHELP@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/2012
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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