| Field | Data |
|---|---|
| EIN | 83-3352034 |
| Case Number | EO-2019343-000523 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | TABULA RASA INC |
| Organization’s Mailing Address | 27094 RIDGEVIEW SPRINGS RD |
| City | HOT SPRINGS |
| State | SD |
| ZIP | 57747-6033 |
| Accounting period End | 12 |
| Primary contact name | CHANTAL PETERSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
CHANTAL PETERSON
PRESIDENT
27094 RIDGEVIEW SPRINGS RD
HOT SPRINGS SD 57747-6033
SEAN PETERSON
VICE PRESIDENT
805 FOX COURT
TEA SD 57064
MARIANNE PETERSON
TREASURER
417 EAST 2ND STREET
CANTON SD 57031
NOEL PETERSON
SECRETARY
417 EAST 2ND STREET
CANTON SD 57013
MICHELLE RICHARDS
BOARD MEMBER
18860 SE CARMEL DR
DAMASCUS OR 97089
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/11/2018 |
| Organization Incorporation State | SD |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F60 - Counseling, Support Groups |
| 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 | Yes |
| Donation of funds | No |
| 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 | CHANTAL PETERSON |
| Signature Title | PRESIDENT |
| Signature Date | 12/6/2019 |
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