FORM 1023-EZ for ESSENTIAL ADULT LIVING INC

Field Data
EIN 87-2119821
Case Number EO-2021228-000570
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ESSENTIAL ADULT LIVING INC
Organization’s Mailing Address 673 FRANKLIN ST APT 311D
City WORCESTER
State MA
ZIP 01604-1833
Accounting period End 9
Primary contact name RACQUEL KNIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YAA ANKOMAH
PRESIDENT
673 FRANKLIN ST APT 311D
WORCESTER MA 01604-1833

Officer/Director/Trustee Two

RACQUEL KNIGHT
DIRECTOR
21 FALMOUTH ST
WORCESTER MA 01607

Officer/Director/Trustee Three

WALTER ROSS
CLERK
92 IDALLA RD
WORCESTER MA 01606

Officer/Director/Trustee Four

SHEILA ASAMOAH
TREASURER
4406 BOOTS DR
KILLEEN TX 76549

Organization’s website
Organization’s email ANKOMAHYAA7@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/2021
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 RACQUEL KNIGHT
Signature Title DIRECTOR
Signature Date 8/13/2021

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