FORM 1023-EZ for A HOME AWAY FROM HOME

Field Data
EIN 84-3721770
Case Number EO-2020063-000221
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A HOME AWAY FROM HOME
Organization’s Mailing Address 1804 S LAUDERDALE STREET
City MEMPHIS
State TN
ZIP 38106-6608
Accounting period End 6
Primary contact name APRIL NICHOLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

APRIL NICHOLSON
DIRECTOR
1805 GORDON STREET
CAMDEN SC 29020-2619

Officer/Director/Trustee Two

MICHAEL ANDERSON
DIRECTOR
6764 WILLOW WAY LANE
MEMPHIS TN 38141-7391

Officer/Director/Trustee Three

SHARON DRAINE
DIRECTOR
4363 MARSHALL ROAD
MUNFORD TN 38058-7346

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/2019
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L80 - Housing Support Services -- Other
Organization’s purpose Charitable: Yes
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 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 APRIL NICHOLSON
Signature Title DIRECTOR
Signature Date 3/1/2020

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