FORM 1023-EZ for TELEHEALTH AND ASSISTED LIVING CENTER INC

Field Data
EIN 81-5406874
Case Number EO-2017072-000368
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TELEHEALTH AND ASSISTED LIVING CENTER INC
Organization’s Mailing Address 6 FARWELL ST APPT 1
City WORCESTER
State MA
ZIP 01605
Accounting period End 8
Primary contact name EBENEZER AFARIKUMAH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

OLIVIA SEMAHA
TREASURER
40 EVERETT GAYLORD BLVD
WORCESTER MA 01608

Officer/Director/Trustee Two

FRANCIS EDEM KARTEY
DIRECTOR
1564 HERRINGTON RD APT 1233
LAWRENCEVILLE GA 30043

Officer/Director/Trustee Three

EBENEZER AFARIKUMAH
CEO
6 FARWELL ST APPT 1
WORCESTER MA 01605

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2017
Organization Incorporation State MA
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: Yes
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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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