FORM 1023-EZ for LARITAS HOUSE DOMESTIC ABUSE FOUNDATION

Field Data
EIN 84-3826910
Case Number EO-2021104-000395
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LARITAS HOUSE DOMESTIC ABUSE FOUNDATION
Organization’s Mailing Address 74 BURKETTS CREEK DRIVE
City HATTIESBURG
State MS
ZIP 39401
Accounting period End 12
Primary contact name CHANDRA DEWBERRY HARDWICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAFINEE DEWBERRY
PRESIDENT
6243 CHICASAWAY STREET
MARION MS 39342

Officer/Director/Trustee Two

JONATHAN HARDWICK
TREASURER
6666 W WASHINGTON AVENUE APT 390
LAS VEGAS NV 87107

Officer/Director/Trustee Three

FRANKLIN REED
SECRETARY
1030 TAYLOR STREET
LAUREL MS 39440

Officer/Director/Trustee Four

CHANDRA HARDWICK
EXECUTIVE DIRECTOR
74 BURKETTS CREEK DRIVE
HATTIESBURG MS 39401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2019
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, Services
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 CHANDRA HARDWICK
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/8/2021

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