FORM 1023-EZ for PAMS LIFE AFTER STROKE FOUNDATION

Field Data
EIN 83-1167876
Case Number EO-2018197-000487
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAMS LIFE AFTER STROKE FOUNDATION
Organization’s Mailing Address 207 WILLOW APT B3
City CONWAY
State AR
ZIP 72032
Accounting period End 12
Primary contact name CHARNEESHA THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARNEESHA THOMPSON
PRESIDENT
207 WILLOW STREET
CONWAY AR 72032

Officer/Director/Trustee Two

KELLEY MEDREZ
VICE-PRESIDENT
8223 SCOTT HAMILTON DR APT A10
LITTLE ROCK AR 72209

Officer/Director/Trustee Three

SHUNDRA VEASEY
SECRETARY
7700 NORTH HILLS BLVD APT 205
NORTH LITTLE ROCK AR 72216

Officer/Director/Trustee Four

SARAH DAVIS
TREASURER
105 JOHNSON ST APT C
LITTLE ROCK AR 72205

Organization’s website NA
Organization’s email TCHARNEESHA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/18
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G43 - Heart and Circulatory System Diseases, Disorders
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHARNEESHA THOMPSON
Signature Title PRESIDENT
Signature Date 7/13/18

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