FORM 1023-EZ for TERRYS BEHAVIORAL ACTIVITY CENTER
| Field | Data |
|---|---|
| EIN | 84-5093457 |
| Case Number | EO-2020142-000134 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | TERRYS BEHAVIORAL ACTIVITY CENTER |
| Organization’s Mailing Address | 225 N 5TH STREET |
| City | WEST MEMPHIS |
| State | AR |
| ZIP | 72301 |
| Accounting period End | 12 |
| Primary contact name | MELODY HOUSTON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MELODY HOUSTON
PRESIDENT
200 MLK
WEST MEMPHIS AR 72301
Officer/Director/Trustee Two
IRENE MACK
VICE PRESIDENT
200 MLK
WEST MEMPHIS AR 72301
Officer/Director/Trustee Three
NATALIA MACK
SECRETARY
200 MLK
WEST MEMPHIS AS 72301
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/12/2020 |
| Organization Incorporation State | AR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F33 - Group Home, Residential Treatment Facility - Mental Health Related |
| Organization’s purpose | Charitable: Yes Religious: Yes Educational: Yes Scientific: Yes Literary: Yes Public Safety: Yes Amateur Sports: Yes Cruelty Prevention: Yes |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | Yes |
| Donation of funds | No |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | Yes |
| 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 | MELODY HOUSTON |
| Signature Title | PRESIDENT |
| Signature Date | 5/19/2020 |
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