FORM 1023-EZ for THE TLC HOUSE INC

Field Data
EIN 86-3533591
Case Number EO-2021179-000196
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE TLC HOUSE INC
Organization’s Mailing Address 701 ASPEN PEAK LOOP APT 3123
City HENDERSON
State NV
ZIP 89011
Accounting period End 12
Primary contact name CHANTAY SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHANTAY SMITH
PRESIDENT & DIRECTOR
701 ASPEN PEAK LOOP APT 3123
HENDERSON NV 89011

Officer/Director/Trustee Two

SHYKWAY SMITH
TREASURER & DIRECTOR
4650 CRESTVIEW AVE
INDIANAPOLIS IN 46205

Officer/Director/Trustee Three

TANYELLE SANDIFER
SECRETARY & DIRECTOR
450 OLD OAK DRIVE APT 201
NEWPORT NEWS VA 23602

Organization’s website
Organization’s email THETLCHOUSEINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/2021
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 CHANTAY SMITH
Signature Title PRESIDENT & DIRECTOR
Signature Date 6/24/2021

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