FORM 1023-EZ for HARVEST HOME

Field Data
EIN 56-2568707
Case Number EO-2019210-000559
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HARVEST HOME
Organization’s Mailing Address 1178 COVINGTON ROAD
City WARD
State AR
ZIP 72176
Accounting period End 7
Primary contact name RICKY LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICKY LEE
EXECUTIVE DIRECTOR
1178 COVINGTON ROAD
WARD AR 72176

Officer/Director/Trustee Two

ALICIA DAVIS
BOARD PRESIDENT
70 DAM ROAD
MAYFLOWER AR 72106

Officer/Director/Trustee Three

MICHAEL MILNER
BOARD MEMBER
308 FOREST DRIVE
MOUNTAIN HOME AR 72653

Officer/Director/Trustee Four

LAWRENCE POSEY
BOARD MEMBER
RT 1 BOX 460
STAR CITY AR 71667

Organization’s website
Organization’s email HARVESTHOMECABOT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/04
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Correctness Declaration Yes
Signature Name RICKY LEE
Signature Title EXECUTIVE DIRECTOR
Signature Date 7/27/19

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