FORM 1023-EZ for JOSEPHINE PANKEY FACILITY

Field Data
EIN 81-2230447
Case Number EO-2017048-000203
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JOSEPHINE PANKEY FACILITY
Organization’s Mailing Address 13700 CANTRELL RD
City LITTLE ROCK
State AR
ZIP 72223
Accounting period End 12
Primary contact name BRENDA NORWOOD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LENNY BOWEN
TREASURER
13700 CANTRELL RD
LITTLE ROCK AR 72223

Officer/Director/Trustee Two

BRIAN CURRY
BOARD MEMBER
13700 CANTRELL RD
LITTLE ROCK AR 72223

Officer/Director/Trustee Three

NANCY ROBINSON LOTT
SECRETARY
13700 CANTRELL RD
LITTLE ROCK AR 72223

Officer/Director/Trustee Four

MELISSA JOHNSON
BOARD MEMBER
13700 CANTRELL RD
LITTLE ROCK AR 72223

Officer/Director/Trustee Five

BRENDA NORWOOD
PRESIDENT
13700 CANTRELL RD
LITTLE ROCK AR 72223

Organization’s website
Organization’s email JPFBNWOOD2017@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2016
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P28 - Neighborhood Centers, Settlement Houses
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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