FORM 1023-EZ for MANOR LIVING

Field Data
EIN 82-3900030
Case Number EO-2018078-000195
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MANOR LIVING
Organization’s Mailing Address 3305 NORTH MANOR DRIVE
City TUCSON
State AZ
ZIP 85750
Accounting period End 12
Primary contact name NAVARRA PETERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NAVARRA PETERMAN
PRESIDENT
3305 NORTH MANOR DRIVE
TUCSON AZ 85750

Officer/Director/Trustee Two

SHERRY JOHNSON
DIRECTOR
3305 NORTH MANOR DRIVE
TUCSON AZ 85750

Officer/Director/Trustee Three

VALERIE KEYS
SECRETARY/TREASURER
3305 NORTH MANOR DRIVE
TUCSON AZ 85750

Organization’s website
Organization’s email ADMIN@MANORLIVING.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
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 NAVARRA PETERMAN
Signature Title PRESIDENT
Signature Date 3/15/18

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