FORM 1023-EZ for LAZARUS HOME INC
| Field | Data |
|---|---|
| EIN | 84-2777044 |
| Case Number | EO-2020216-000177 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LAZARUS HOME INC |
| Organization’s Mailing Address | 2399 HENDRICKS ST |
| City | GARY |
| State | IN |
| ZIP | 46404 |
| Accounting period End | 12 |
| Primary contact name | CLASTEIN ATKINS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CLASTEIN ATKINS
PRESIDENT
2399 HENDRICKS ST
GARY IN 46404
Officer/Director/Trustee Two
TASHIKO ATKINS
VICE PRESIDENT
2399 HENDRICKS ST
GARY IN 46404
Officer/Director/Trustee Three
BERNARD JAMES
BOARD MEMBER
3109 LANCELOT DR
MURFREESBORO TN 37127
Officer/Director/Trustee Four
EDWARD MOORE
TREASURER
415 MORGAN FALLS RD
SANDY SPRINGS GA 30350
Officer/Director/Trustee Five
TONYA SONNIER
SECRETARY
4545 HOBART ST
HOBART IN 46342
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/13/2019 |
| Organization Incorporation State | IN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | L40 - Low-Cost Temporary Housing |
| 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 | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | CLASTEIN ATKINS |
| Signature Title | PRESIDENT |
| Signature Date | 7/30/2020 |
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