FORM 1023-EZ for THREE WISHES FOR RUBYS RESIDENTS

Field Data
EIN 83-3475104
Case Number EO-2019042-000266
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THREE WISHES FOR RUBYS RESIDENTS
Organization’s Mailing Address 6166 HIGHWAY 206 WEST
City HARRISON
State AR
ZIP 72601-9235
Accounting period End 12
Primary contact name AMANDA CHITSEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANDA CHITSEY
CEO
6166 HIGHWAY 6166 WEST
HARRISON AR 72601-9235

Officer/Director/Trustee Two

LYNDA BARNARD
VICE PRESIDENT A
4986 HIGHWAY 43 SOUTH
HARRISON AR 72601

Officer/Director/Trustee Three

MANDY COPE
VICE PRESIDENT B
2603 UNION ROAD
HARRISON AR 72601

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/19
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 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 AMANDA CHITSEY
Signature Title CEO
Signature Date 2/7/19

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