FORM 1023-EZ for STROKE REHABILITATION AND HEALING INC

Field Data
EIN 47-2514439
Case Number EO-2015099-000428
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STROKE REHABILITATION AND HEALING INC
Organization’s Mailing Address 330 OLD OAK ST UNIT R
City PEMBROKE
State MA
ZIP 02359
Accounting period End 12
Primary contact name DEIDRE HUSSEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEIDRE HUSSEY
PRESIDENT
19 FENWICK ST APT 2
HARTFORD CT 06114

Officer/Director/Trustee Two

MEGAN HUSSEY
TREASURER
557 HANCOCK ST APT 4
QUINCY MA 02170

Officer/Director/Trustee Three

ERIN HUSSEY
SECRETARY
21 MERRILL AVE APT 3
QUINCY MA 02170

Officer/Director/Trustee Four

KATHRYN DUGGER
DIRECTOR
280 COREY RD 21
BRIGHTON MA 02135

Officer/Director/Trustee Five

YVONNE CHIAMPA
DIRECTOR
86 EMERSON ST 2
SOUTH BOSTON MA 02127

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2014
Organization Incorporation State MA
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: No
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
Signature Title
Signature Date

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