FORM 1023-EZ for PROGRESSIVE CARE GROUP HOME INC

Field Data
EIN 90-0181913
Case Number EO-2017094-000328
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PROGRESSIVE CARE GROUP HOME INC
Organization’s Mailing Address 10636 MOUNTAIN SPRING DRIVE
City CHARLOTTE
State NC
ZIP 28278
Accounting period End 12
Primary contact name SHEILA JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHEILA JOHNSON
EXECUTIVE DIRECTOR
10636 MOUNTAIN SPRING DRIVE
CHARLOTTE NC 28278

Officer/Director/Trustee Two

FREIDA WILSON
PRESIDENT
11311 ILLORIA DRIVE
CHARLOTTE NC 28273

Officer/Director/Trustee Three

GENA BAXTER
VICE PRESIDENT
11311 LAUREL VALLEY DRIVE
CHARLOTTE NC 28273

Officer/Director/Trustee Four

JOYCELYN HALL
SECRETARY/TREASURER
5028 ABERCROMBY STREET
CHARLOTTE NC 28213

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/2002
Organization Incorporation State NY
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: 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 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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