FORM 1023-EZ for COMPASSIONATE LIVING IN ACTION SERVING PEOPLE

Field Data
EIN 84-4412718
Case Number EO-2020027-000188
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMPASSIONATE LIVING IN ACTION SERVING PEOPLE
Organization’s Mailing Address 104 BETA TRAIL
City STAR TANNERY
State VA
ZIP 22654
Accounting period End 12
Primary contact name TERI BARTNICKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERI BARTNICKI
FOUNDER
104 BETA TRAIL
STAR TANNERY VA 22654

Officer/Director/Trustee Two

HELEN TARUT
CHIEF OPERATOR OFFICER
463 N ARMISTEAD APT 3
ALEXANDRIA VA 22312

Officer/Director/Trustee Three

KRISTIN YATES
CHIEF FINANCIAL OFFICER
4889 HAUCK STREET
EL PASO TX 79906

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2019
Organization Incorporation State VA
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: 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 TERI BARTNICKI
Signature Title FOUNDER
Signature Date 1/23/2020

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