FORM 1023-EZ for TABULA RASA LIFE CENTER COMMUNITY CORPORATION

Field Data
EIN 85-3508353
Case Number EO-2020296-000798
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TABULA RASA LIFE CENTER COMMUNITY CORPORATION
Organization’s Mailing Address 938 COLORADO DR
City ALLEN
State TX
ZIP 75013
Accounting period End 1
Primary contact name TANYA BAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TANYA BAKER
CEO
938 COLORADO DR
ALLEN TX 75013

Officer/Director/Trustee Two

BOBBY BAKER
CFO
938 COLORADO DR
ALLEN TX 75013

Officer/Director/Trustee Three

HEAVEN BAKER
DIRECTOR
938 COLORADO DR
ALLEN TX 75013

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2020
Organization Incorporation State TX
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: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: Yes
Amateur Sports: Yes
Cruelty Prevention: Yes
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 TANYA BAKER
Signature Title CEO
Signature Date 10/19/2020

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