FORM 1023-EZ for LOVE AND CARE HOME INC

Field Data
EIN 84-2034817
Case Number EO-2021109-000717
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOVE AND CARE HOME INC
Organization’s Mailing Address PO BOX 77641
City GREENSBORO
State NC
ZIP 27417
Accounting period End 12
Primary contact name ALICIA WOODS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALICIA WOODS
EXECUTIVE DIRECTOR
PO BOX 77641
GREENSBORO NC 27417

Officer/Director/Trustee Two

SHANA GILL
VICE PRESIDENT
17 PALM TREE CT
GREENSBORO NC 27406

Officer/Director/Trustee Three

TANYA CLAGON
TREASURER
1317 MORRISETTE AVE
ELIZABETH CITY NC 27909

Officer/Director/Trustee Four

MIYEASHYA LUSTER
SECRETARY
1463 LONDON DR
HIGH POINT NC 27260

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/2019
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
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 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 ALICIA WOODS
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/17/2021

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