FORM 1023-EZ for TENDER CARE VILLAGE

Field Data
EIN 82-1321078
Case Number EO-2017156-000281
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TENDER CARE VILLAGE
Organization’s Mailing Address 3019 DUPORTAIL STREET 202
City RICHLAND
State WA
ZIP 99352-6103
Accounting period End 12
Primary contact name TRACI WELLS-DIRECTOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL TALBOT
PRESIDENT
3019 DUPORTAIL STREET 202
RICHLAND WA 99352-6103

Officer/Director/Trustee Two

TRACI WELLS
TREASURER/SECRETARY/DIRECTOR
3019 DUPORTAIL STREET 202
RICHLAND WA 99352-6103

Officer/Director/Trustee Three

CHARLES THERIEN
VICE-PRESIDENT
3019 DUPORTAIL STREET 202
RICHLAND WA 99352-6103

Organization’s website N/A
Organization’s email TENDERCAREVILLAGE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/2017
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 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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