FORM 1023-EZ for MOTHERS DIALYSIS CARE INC
| Field | Data |
|---|---|
| EIN | 84-4793540 |
| Case Number | EO-2020057-000338 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MOTHERS DIALYSIS CARE INC |
| Organization’s Mailing Address | 701 N OLD TEMPLE RD APT 306 |
| City | HEWITT |
| State | TX |
| ZIP | 76643 |
| Accounting period End | 12 |
| Primary contact name | TERIA JOHNSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TERIA JOHNSON
PRINCIPAL DIRECTOR
701 N OLD TEMPLE RD APT 306
HEWITT TX 76643
Officer/Director/Trustee Two
TRAVON STRIPES
DIRECTOR
3305 DELHI STREET
HOUSTON TX 77022
Officer/Director/Trustee Three
FRANCINE WALTON
DIRECTOR
6367 QUEENS COURT TRACE
MARKETING GA 30126
Officer/Director/Trustee Four
EDDIE COKER
DIRECTOR
1135 ACORN OAK DR
LAWRENCEVILLE GA 30045
Officer/Director/Trustee Five
SANDI SPELLS
DIRECTOR
1882 PRINCETON AVE STE 7
COLLEGE PARK GA 30037
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/24/2015 |
| Organization Incorporation State | TX |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E60 - Health Support Services |
| 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 | 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 | TERIA JOHNSON |
| Signature Title | PRINCIPAL DIRECTOR |
| Signature Date | 2/24/2020 |
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