FORM 1023-EZ for LOVE WITHOUT WALLS ADULT CARE

Field Data
EIN 81-2337695
Case Number EO-2020314-000574
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOVE WITHOUT WALLS ADULT CARE
Organization’s Mailing Address 111 PARK STREET
City ATHENS
State TN
ZIP 37303
Accounting period End 12
Primary contact name RASHANAE ARNWINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RASHANAE ARNWINE
DIRECTOR
111 COUNTY ROAD 2520
ATHENS TN 37303

Officer/Director/Trustee Two

KAREN CALDWELL
VICE- PRESIDENT
305 SOUTHWEST PARKWOOD DRIVE
BLUE SPRINGS MO 64014

Officer/Director/Trustee Three

CARLUS THOMPSON
SECRETARY / TREASURER
209 POPE AVE
ATHENS TN 37303

Officer/Director/Trustee Four

SAMMIE RAMSEY
PRESIDENT
107 COUNTY ROAD 2520
ATHENS TN 37303

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E32 - Ambulatory Health Center, Community Clinic
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RASHANAE ARNWINE
Signature Title DIRECTOR
Signature Date 11/6/2020

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