FORM 1023-EZ for A BLESSING AWAY FROM HOME SENIOR CARE INC

Field Data
EIN 84-3361544
Case Number EO-2020287-000275
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A BLESSING AWAY FROM HOME SENIOR CARE INC
Organization’s Mailing Address 5701 LEIDEN ROAD
City BALTIMORE
State MD
ZIP 21206
Accounting period End 12
Primary contact name LATANYA LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LATANYA LEWIS
PRESIDENT
5701 LEIDEN ROAD
BALTIMORE MD 21206

Officer/Director/Trustee Two

PAUL GARDNER
BOARD MEMBER
110 PAINTERS MILL RD STE 209
OWINGS MILLS MD 21117

Officer/Director/Trustee Three

AKEYLAH DAVIS
BOARD MEMBER
16 ROSELYN COURT
PIKESVILLE MD 21208

Organization’s website HTTP://BAFH.COM
Organization’s email INFO@BAFH.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/3/2019
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E91 - Nursing, Convalescent Facilities
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LATANYA LEWIS
Signature Title PRESIDENT
Signature Date 10/8/2020

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