| Field | Data |
|---|---|
| EIN | 84-2297596 |
| Case Number | EO-2019220-000234 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BURKS SUPPORTIVE LIVING INC |
| Organization’s Mailing Address | 1100 S HIGHLAND PARK AVENUE |
| City | CHATTANOOGA |
| State | TN |
| ZIP | 37404 |
| Accounting period End | 12 |
| Primary contact name | NICOLE MCFARLAND BURKS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
NICOLE BURKS
PRESIDENT
5606 BUNCH STREET
CHATTANOOGA TN 37421
INIOBONG ISANG
CHAIRPERSON /VICE PRESIDENT
1100 S HIGHLAND PARK AVENUE
CHATTANOOGA TN 37404
MINNIE TROUPE
BOARD MEMBER
921 KENNINGTON HILLS DRIVE
CHATTANOOGA TN 37343
SHELLA HANNER
BOARD MEMBER
5117 LANTANA LANE
CHATTANOOGA TN 37416
JALA ABBOTT
SECRETARY
1244 TOWNE HILLS DRIVE
CHATTANOOGA TN 37343
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/3/19 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P82 - Developmentally Disabled Centers, Services |
| 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 | NICOLE BURKS |
| Signature Title | PRESIDENT |
| Signature Date | 8/6/19 |
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