FORM 1023-EZ for CLEAN HANDS PURE HEART TRANSITIONALLIVING HOME

Field Data
EIN 84-3879051
Case Number EO-2021137-000244
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLEAN HANDS PURE HEART TRANSITIONALLIVING HOME
Organization’s Mailing Address PO BOX 872
City NORTH LITTLE ROCK
State AR
ZIP 72115
Accounting period End 12
Primary contact name LATOYA CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LATOYA CLARK
DIRECTOR
PO BOX 872
NORTH LITTLE ROCK AR 72115

Officer/Director/Trustee Two

MONICA SMITH
TRUSTEE OFFICER
PO BOX 872
NORTH LITTLE ROCK AR 72115

Organization’s website PENDING
Organization’s email LATOYA0126@ICLOUD.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/2019
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L40 - Low-Cost Temporary Housing
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 LATOYA CLARK
Signature Title DIRECTOR
Signature Date 5/12/2021

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