FORM 1023-EZ for EXTRAORDINARY HOME CARE INC

Field Data
EIN 84-4198772
Case Number EO-2020261-000327
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EXTRAORDINARY HOME CARE INC
Organization’s Mailing Address 5900 YORK ROAD
City BALTIMORE
State MD
ZIP 21212
Accounting period End 12
Primary contact name KIM WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAXINE MAYO
PRESIDENT
6408 DICKENS AVE
PHILADELPHIA PA 19142

Officer/Director/Trustee Two

IRIS FORTUNE
VICE PRESIDENT
6606 PARK HEIGHTS AVE
BALTIMORE MD 21217

Officer/Director/Trustee Three

KIM WILLIAMS
SECRETARY
8609 POLLY HILL COURT
WINDSOR MILL MD 21244

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/2020
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P75 - Senior Continuing Care Communities
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 KIM WILLIAMS
Signature Title SECRETARY
Signature Date 9/15/2020

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