FORM 1023-EZ for DR LA TRICE WASHINGTON
| Field | Data |
|---|---|
| EIN | 83-2926102 |
| Case Number | EO-2021246-000361 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | DR LA TRICE WASHINGTON |
| Organization’s Mailing Address | 9223 REEDYBROOK XING |
| City | APEX |
| State | NC |
| ZIP | 27523 |
| Accounting period End | 12 |
| Primary contact name | LA TRICE WASHINGTON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LA TRICE WASHINGTON
PRESIDENT
9223 REEDYBROOK XING
APEX NC 27523
Officer/Director/Trustee Two
SHIRLEY JORDAN
BOARD MEMBER
9223 REEDYBROOK XING
APEX NC 27523
Officer/Director/Trustee Three
LORI NEWTON
BOARD MEMBER
9223 REEDYBROOK XING
APEX NC 27523
| Organization’s website | WWW.DRLATRICEWASHINGTON.COM |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/28/2018 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | R99 - Civil Rights, Social Action, Advocacy N.E.C. |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | LA TRICE WASHINGTON |
| Signature Title | PRESIDENT |
| Signature Date | 9/1/2021 |
| EIN | 83-2926102 |
| Case Number | EO-2019029-000631 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | DR LA TRICE WASHINGTON |
| Organization’s Mailing Address | 3631 PARKER KNOLL LANE |
| City | COLUMBIS |
| State | OH |
| ZIP | 43219 |
| Accounting period End | 12 |
| Primary contact name | DR LA TRICE WASHINGTON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LA TRICE WASHINGTON
CEO
3631 PARKER KNOLL LANE
COLUMBUS OH 43219
Officer/Director/Trustee Two
LORI BREWER-NEWTON
BOARD OF DIRECTORS
162 DEER PATH COURT
PATASKALA OH 43062
Officer/Director/Trustee Three
SHIRLEY JORDAN
BOARD OF DIRECTORS
7008 FLAGSTAFF LANE
RICHMOND VA 23228
Officer/Director/Trustee Four
TRENEE PRUITT
BOARD OF DIRECTORS
3626 PARKER KNOLL LANE
COLUMBUS OH 43219
Officer/Director/Trustee Five
VALERIE MOTT
BOARD OF DIRECTORS
1724 SUNAPPLE WAY
COLUMBUS OH 43232
| Organization’s website | WWW.HTTP://DRLATRICEWASHINGTON.COM |
|---|---|
| Organization’s email | LATRICEWASHINGTON00@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/28/18 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | R99 - Civil Rights, Social Action, Advocacy N.E.C. |
| Organization’s purpose | Charitable: No Religious: Yes 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 | Yes |
| Donation of funds | Yes |
| 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 | LA TRICE WASHINGTON |
| Signature Title | CEO |
| Signature Date | 12/24/18 |
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