FORM 1023-EZ for THERAPUETIC ALLIANCE OF TANGIPAHOAINC

Field Data
EIN 83-2759755
Case Number EO-2019085-000327
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THERAPUETIC ALLIANCE OF TANGIPAHOAINC
Organization’s Mailing Address P O BOX 2132
City HAMMOD
State LA
ZIP 70404
Accounting period End 12
Primary contact name KATINA SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATINA SMITH
CHIEF EXECUTIVE OFFICER
42628 VICTORIA DRIVE
HAMMOND LA 70404

Officer/Director/Trustee Two

MELINDA DOUGLAS
PRESIDENT
3801 MILL MEADOWS DRIVE
MIDLOTHIAN VA 23112

Officer/Director/Trustee Three

TARANZA GLASPER BOWN
SECRETARY/TREASURY
170 JENNINGS LANE
HOUMA LA 70360

Officer/Director/Trustee Four

JAMYA SMITH
VICE PRESIDENT
43353 HAPPYWOODS RD TRLR 40
HAMMOND LA 70403

Organization’s website
Organization’s email THERAPEUTIC.ALLIANCE985@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/18
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KATINA SMITH
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 3/21/19
EIN 83-2759755
Case Number EO-2019085-000327
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THERAPUETIC ALLIANCE OF TANGIPAHOA INC
Organization’s Mailing Address P O BOX 2132
City HAMMOD
State LA
ZIP 70404
Accounting period End 12
Primary contact name KATINA SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATINA SMITH
CHIEF EXECUTIVE OFFICER
42628 VICTORIA DRIVE
HAMMOND LA 70404

Officer/Director/Trustee Two

MELINDA DOUGLAS
PRESIDENT
3801 MILL MEADOWS DRIVE
MIDLOTHIAN VA 23112

Officer/Director/Trustee Three

TARANZA GLASPER BOWN
SECRETARY/TREASURY
170 JENNINGS LANE
HOUMA LA 70360

Officer/Director/Trustee Four

JAMYA SMITH
VICE PRESIDENT
43353 HAPPYWOODS RD TRLR 40
HAMMOND LA 70403

Organization’s website
Organization’s email THERAPEUTIC.ALLIANCE985@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/18
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KATINA SMITH
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 3/21/19

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