FORM 1023-EZ for MY LITTLE PATIENT CORPORATION
| Field | Data |
|---|---|
| EIN | 47-2447404 |
| Case Number | EO-2015135-000047 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | MY LITTLE PATIENT CORPORATION |
| Organization’s Mailing Address | 9213 GARY LANE |
| City | GLENARDEN |
| State | MD |
| ZIP | 20774 |
| Accounting period End | 12 |
| Primary contact name | ALLISTER RAMRATTAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
KELLY CROWELL
CHIEF OPERATIONS OFFICER
2811 SOUTH 32ND AVENUE
OMAHA NE 68105
Officer/Director/Trustee Two
VALARIE JENSEN
TREASURER
101 NORTH 3RD STREET
RED OAK IA 51566
Officer/Director/Trustee Three
ANDREW REAMER
DIRECTOR
1429 S GREENBRIER ST
ARLINGTON VA 22206
Officer/Director/Trustee Four
JESSICA SHEEHAN
VICE PRESIDENT
1429 SOUTH GREENBRIER STREET
ARLINGTON VA 22206
Officer/Director/Trustee Five
MANUELA NUNES
SECRETARY
1014 STARLIT POND
SAN ANTONIO TX 78260
| Organization’s website | WWW.MYLITTLEPATIENT.COM |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/5/2015 |
| Organization Incorporation State | MD |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | Q35 - Democracy Development |
| 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 | Yes |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | No |
| Disaster relief assistance | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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