FORM 1023-EZ for HARDING HEALTHCARE CENTER

Field Data
EIN 82-1713361
Case Number EO-2017158-000322
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HARDING HEALTHCARE CENTER
Organization’s Mailing Address 104 TIMBER LANE
City RIPLEY
State TN
ZIP 38063
Accounting period End 12
Primary contact name LISA HARDING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA HARDING
FOUNDER/EXEC DIRECTOR/PRESIDENT
104 TIMBER LANE
RIPLEY TN 38063

Officer/Director/Trustee Two

SHAN DERDA FARROW
BOARD OF DIRECTOR/SECRETARY
2893 OLD BROWNSVILLE RD
RIPLEY TN 38063

Officer/Director/Trustee Three

JOHNNY NELSON
BOARD OF DIRECTOR
469 S WASHINGTON ST
RIPLEY TN 38063

Organization’s website
Organization’s email LHARDING10@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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