FORM 1023-EZ for NEW BEGINNINGS ASSISTED LIVING SERVICES

Field Data
EIN 82-1897024
Case Number EO-2017179-000180
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW BEGINNINGS ASSISTED LIVING SERVICES
Organization’s Mailing Address 118 BRIAN DRIVE
City ENOLA
State PA
ZIP 17025
Accounting period End 1
Primary contact name SHARLANE MARCUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARLANE MARCUS
OWNER
118 BRIAN DRIVE
ENOLA PA 17025

Officer/Director/Trustee Two

SHELDON MARCUS
TRUSTEE
118 BRIAN DRIVE
ENOLA PA 17025

Officer/Director/Trustee Three

CHRISTIAN FINE
MISSIONS SUPPORT
14 SHOVER DRIVE
CARLISLE PA 17013

Officer/Director/Trustee Four

SHAMARR BLANCHARD
DIRECTOR OF MARKETING
128 PLAINVIEW DRIVE
HARRISBURG PA 17112

Officer/Director/Trustee Five

DERYCK HENRY
LEGAL ADVISOR
5521 NORTH FRONT STREET
HARRISBURG PA 17110

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/2017
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 No
Donation of funds Yes
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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