FORM 1023-EZ for SENIOR LOVING CARE

Field Data
EIN 83-1088963
Case Number EO-2020309-000242
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SENIOR LOVING CARE
Organization’s Mailing Address 1732 PLEASANT VIEW RD
City RUSSELLVILLE
State AR
ZIP 72802
Accounting period End 12
Primary contact name CINDY MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CINDY MILLER
EXECUTIVE DIRECTOR
1732 PLEASANT VIEW RD
RUSSELLVILLE AR 72802

Officer/Director/Trustee Two

JOHN MILLER
SECRETARY
1732 PLEASANT VIEW RD
RUSSELLVILLE AR 72802

Officer/Director/Trustee Three

LIZ WHITING
BOARD MEMBER
704 N WEST ST
MORRILTON AR 72110

Officer/Director/Trustee Four

HANNAH WHITING
BOARD MEMBER
401 2ND ST APT 1013
CONWAY AR 72032

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/2018
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E92 - Home Health Care
Organization’s purpose Charitable: Yes
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 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 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 CINDY MILLER
Signature Title EXECUTIVE DIRECTOR
Signature Date 11/2/2020

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