FORM 1023-EZ for HOMELESS ESSENTIALS INC

Field Data
EIN 85-1457503
Case Number EO-2020210-000191
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOMELESS ESSENTIALS INC
Organization’s Mailing Address 35 FAIRFAX COVE
City JACKSON
State TN
ZIP 38305
Accounting period End 12
Primary contact name ANITRA SHEAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOCELYN LAKE
DIRECTOR
2179 PARKHURST COURT APT 7
MEMPHIS TN 38116

Officer/Director/Trustee Two

ANITRA SHEAD
DIRECTOR
35 FAIRFAX COVE
JACKSON TN 38305

Officer/Director/Trustee Three

TAMARA HARDAWAY
DIRECTOR
35 FAIRFAX COVE
JACKSON TN 38305

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2020
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 ANITRA SHEAD
Signature Title DIRECTOR
Signature Date 7/23/2020

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