FORM 1023-EZ for COURAGE MEDICINE HEALTH CENTER INC

Field Data
EIN 45-3858991
Case Number EO-2019050-000373
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COURAGE MEDICINE HEALTH CENTER INC
Organization’s Mailing Address 129 SOUTH 48TH STREET
City PHILADELPHIA
State PA
ZIP 19102
Accounting period End 12
Primary contact name KEVIN MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN MOORE
PRESIDENT
273 HAWTHORNE AVE
HADDONFIELD PA 8033

Officer/Director/Trustee Two

TRISHA ACRI
TREASURER
620 EAST WILLOW GROVE AVENUE
WYNDMOOR PA 19038

Officer/Director/Trustee Three

MELISSA BRAND
MEMBER
273 HAWTHORNE AVE
HADDONFIELD PA 8033

Officer/Director/Trustee Four

JULIA HODGSON
MEMBER
411 3RD AVENUE
NEWTOWN PA 19073

Officer/Director/Trustee Five

ANDREW HARRON
MEMBER
56-18 REVERE ROAD
DREXEL HILL PA 19026

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/11
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P72 - Half-Way House (Short-Term Residential Care)
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 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 KEVIN MOORE
Signature Title PRESIDENT
Signature Date 2/15/19

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