| Field | Data |
|---|---|
| EIN | 85-2736206 |
| Case Number | EO-2020246-000411 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LIFELINE HOME HEALTH AGENCY INC |
| Organization’s Mailing Address | 7022 BALSA GLENN DR |
| City | MILLINGTON |
| State | TN |
| ZIP | 38053 |
| Accounting period End | 12 |
| Primary contact name | DR GEORGE CAMPBELL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
IRAKA BROWN
CEO FOUNDER
7022 BALSA GLENN DR
Millington TN 38053
MARLON BROWN
TREASURER
7022 BALSA GLENN DR
MILLINGTON TN 38053
JUDY ROBERTSON
SECREATARY
7022 BALSA GLENN DR
MILLINGTON TN 38053
MIRANDA LEWIS MERRIWEATHER
BOARD MEMBER
7022 BALSA GLENN DR
MILLINGTON TN 38053
ERIKA GLOVER
BOARD MEMBER
7022 BALSA GLENN DR
MILLINGTON TN 38053
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/27/2020 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E92 - Home Health Care |
| 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 | 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 | IRAKA BROWN |
| Signature Title | CEO FOUNDER |
| Signature Date | 8/31/2020 |
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