FORM 1023-EZ for THE ARBUTUS PLACE

Field Data
EIN 85-4165155
Case Number EO-2021064-000798
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE ARBUTUS PLACE
Organization’s Mailing Address 11843 BRAESVIEW ST 2215
City SAN ANTONIO
State TX
ZIP 78213
Accounting period End 12
Primary contact name SANDRA BANKS DANCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANDRA BANKS DANCE
CEO
11843 BRAESVIEW ST 2215
SAN ANTONIO TX 78213

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2021
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family 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 Yes
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 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 SANDRA BANKS DANCE
Signature Title CEO
Signature Date 1/5/2021

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