FORM 1023-EZ for HOSPICE CARE CONNECTION INC

Field Data
EIN 81-4209835
Case Number EO-2016300-000276
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOSPICE CARE CONNECTION INC
Organization’s Mailing Address 12 JUNIOR WILLIAMS ROAD
City WESLEY
State ME
ZIP 04686
Accounting period End 6
Primary contact name JODI NORTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JODI NORTON
PRESIDENT/CEO
12 JUNIOR WILLIAMS ROAD
WESLEY ME 04686

Officer/Director/Trustee Two

FLORENCE WOOD
TREASURER/SECRETARY/DIRECTOR
50 GROCE STREET
MACHIAS ME 04654

Officer/Director/Trustee Three

TIMOTHY MOORHOUSE
DIRECTOR
44 BLACKBERRY LANE
HARRINGTON ME 04643

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2016
Organization Incorporation State ME
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 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
Signature Title
Signature Date

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