FORM 1023-EZ for AMERICAN PREHABILITATION SOCIETY

Field Data
EIN 84-4746936
Case Number EO-2021118-000213
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMERICAN PREHABILITATION SOCIETY
Organization’s Mailing Address 53 TUPELO TRACE
City MANDEVILLE
State LA
ZIP 70471
Accounting period End 12
Primary contact name SIOBHAN TROTTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SIOBHAN TROTTER
VICE PRESIDENT
53 TUPELO TRACE
MANDEVILLE LA 70471

Officer/Director/Trustee Two

NATHAN BOLTON
DIRECTOR
1140 CITY PARK AVE
NEW ORLEANS LA 70119

Officer/Director/Trustee Three

WILLIAM CONWAY
DIRECTOR
1455 MONTE VISTA
SANTA BARBARA CA 93018

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2020
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SIOBHAN TROTTER
Signature Title VICE PRESIDENT
Signature Date 4/26/2021

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