FORM 1023-EZ for PLEASANT LIVING COMMUNITY CARE

Field Data
EIN 84-3197104
Case Number EO-2019280-000396
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PLEASANT LIVING COMMUNITY CARE
Organization’s Mailing Address 877 NORTHPARK DR STE 300
City RIDGELAND
State MS
ZIP 39157
Accounting period End 12
Primary contact name TAMIKIA Y TAYLOR ROSA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMIKIA TAYLOR ROSA
PRINCIPLE
877 NORTHPARK DR STE 300
RIDGELAND MS 39157

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/19
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TAMIKIA TAYLOR ROSA
Signature Title PRINCIPLE
Signature Date 10/4/19

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