FORM 1023-EZ for SERVANT BOARDING HOUSE

Field Data
EIN 84-3432413
Case Number EO-2019312-000216
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SERVANT BOARDING HOUSE
Organization’s Mailing Address 6550 LOGAN RD
City MOBILE
State AL
ZIP 36695
Accounting period End 12
Primary contact name MAMIE M JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RALPH JOHNSON
CEO
6550 LOGAN RD
MOBILE AL 36695

Officer/Director/Trustee Two

GENEVA MCDONALD
TREASURER
3447 WOODWARD DR
MOBILE AL 36695

Officer/Director/Trustee Three

MAMIE JOHNSON
SECRETARY
3447 WOODWARD DR
MOBILE AL 36695

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/19
Organization Incorporation State AL
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 RALPH JOHNSON
Signature Title CEO
Signature Date 11/6/19

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