FORM 1023-EZ for H M AND C REHABILITATION FOUNDATIONINC

Field Data
EIN 82-5516824
Case Number EO-2018150-000354
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name H M AND C REHABILITATION FOUNDATIONINC
Organization’s Mailing Address 1317 N 54TH STREET
City PHILADELPHIA
State PA
ZIP 19131
Accounting period End 12
Primary contact name HECTOR M CHILAKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HECTOR CHILAKA
EXECUTIVE DIRECTOR
1317 N 54TH STREET
PHILADELPHIA PA 19131

Officer/Director/Trustee Two

GODFREY MBONU
BOARD MEMBER
3723 TAYLOR AVENUE
DREXEL HILL PA 19026

Officer/Director/Trustee Three

SHIMRIT CHILAKA
SECRETARY
1317 N 54TH STREET
PHILADELPHIA PA 19131

Officer/Director/Trustee Four

VIGINUS EDOMOBI
BOARD MEMBER
457 E RIVELY AVENUE
ALDAN PA 19018

Officer/Director/Trustee Five

MICHAEL CHILAKA
TREASURER
1317 N 54TH STREET
PHILADELPHIA PA 19131

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States Yes
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 HECTOR CHILAKA
Signature Title EXECUTIVE DIRECTOR
Signature Date 5/25/18

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