FORM 1023-EZ for LAURAS SHELTER HOUSE INCORPORATED

Field Data
EIN 81-1619873
Case Number EO-2021235-000344
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAURAS SHELTER HOUSE INCORPORATED
Organization’s Mailing Address PO BOX 16472
City WORCESTER
State MA
ZIP 01601
Accounting period End 12
Primary contact name MELVIN PUNCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELVIN PUNCH
DIRECTOR
41 COLUMBIA STREET
WORCESTER MA 01604

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/2020
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 MELVIN PUNCH
Signature Title DIRECTOR
Signature Date 8/20/2021

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