FORM 1023-EZ for VALLEY OF BLESSING RESTORATION HOMEINC
| Field | Data |
|---|---|
| EIN | 84-2031488 |
| Case Number | EO-2019176-000203 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | VALLEY OF BLESSING RESTORATION HOMEINC |
| Organization’s Mailing Address | 640 CANE CREEK MOUNTAIN ROAD |
| City | TELLICO PLAINS |
| State | TN |
| ZIP | 37385 |
| Accounting period End | 12 |
| Primary contact name | PATRICIA WILLIAMS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
PATRICIA WILLIAMS
PRESIDENT/CEO
640 CANE CREEK MOUNTAIN ROAD
TELLICO PLAINS TN 37385
Officer/Director/Trustee Two
RACHAEL DALTON
SECRETARY/TREASURER
409 BARNEY CREEK ROAD
TELLICO PLAINS TN 37385
Officer/Director/Trustee Three
DORIS SKINNER
VICE PRESIDENT
2806 EAST BROADWAY
MARYVILLE TN 37804
Officer/Director/Trustee Four
DONNA MCKEE
DIRECTOR
248 BIG CREEK ROAD
MADISONVILLE TN 37354
Officer/Director/Trustee Five
KENNY TAYLOR
DIRECTOR
210 DUCKETT RIDGE ROAD
TELLICO PLAINS TN 37385
| Organization’s website | N/A |
|---|---|
| Organization’s email | TRISHE.WILLIAMS@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/10/19 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P72 - Half-Way House (Short-Term Residential Care) |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | PATRICIA WILLIAMS |
| Signature Title | PRESIDENT/CEO |
| Signature Date | 6/20/19 |
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