FORM 1023-EZ for TOTAL HEALTH SERVICES INC

Field Data
EIN 82-2984276
Case Number EO-2017310-000298
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TOTAL HEALTH SERVICES INC
Organization’s Mailing Address 8314 MONTEGO PLACE SOUTH
City CORDOVA
State TN
ZIP 38016
Accounting period End 12
Primary contact name ANDREW KNIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW KNIGHT
CHAIRMAN
8314 MONTEGO PLACE SOUTH
CORDOVA TN 38016

Officer/Director/Trustee Two

AUDREY PORTER
TREASURER
1235 EAST PARKWAY SOUTH
MEMPHIS TN 38114

Officer/Director/Trustee Three

REBEKAH HARRISON
SECRETARY
9192 FLETCHER TRACE PARKWAY
LAKELAND TN 38016

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K40 - Nutrition Programs
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
Signature Title
Signature Date

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