FORM 1023-EZ for THE IDA LEE PROJECT

Field Data
EIN 47-3840624
Case Number EO-2016028-000178
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE IDA LEE PROJECT
Organization’s Mailing Address 506 LASER ST
City HOT SPRINGS
State AR
ZIP 71901
Accounting period End 12
Primary contact name DR RAVONNA MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RAVONNA MARTIN
EXECUTIVE DIRECTOR/FOUNDER
506 LASER ST
HOT SPRINGS AR 71901

Officer/Director/Trustee Two

ARA BAGHDASARIAN
PRESIDENT
2290 WALTONIA DRIVE
MONTROSE CA 91021

Officer/Director/Trustee Three

TOM EISELE
VICE-PRESIDENT
60 COOPER STREET 4E
NEW YORK CITY NY 10034

Officer/Director/Trustee Four

JUDY DOUCET
SECRETARY/TREASURE
123 HILLTOP ROAD
HOT SPRINGS AR 71913

Officer/Director/Trustee Five

TREVIA DURLEY
BOARD MEMBER
6905 RED BLUFF DRIVE
MCKINNEY TX 75070

Organization’s website WWW.THEIDALEEPROJECT.ORG
Organization’s email RAVODOC2002@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/2015
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E30 - Health Treatment Facilities, Primarily Outpatient
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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