FORM 1023-EZ for LOVING HEART BEHAVIOR AND REHABILITATION SERVICES INC

Field Data
EIN 82-4520298
Case Number EO-2018348-000094
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOVING HEART BEHAVIOR AND REHABILITATION SERVICES INC
Organization’s Mailing Address 543 BLOOMFIELD AVENUE
City DREXEL HILL
State PA
ZIP 19026
Accounting period End 12
Primary contact name DAHANNA NICOLAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAHANNA NICOLAS
PRESIDENT
543 BLOOMFIELD AVENUE
DREXEL HILL PA 19026

Officer/Director/Trustee Two

MARY-TONY NATHAN
CHAIRPERSON
2841 NORTH KNORR STREET
PHILADELPHIA PA 19149

Officer/Director/Trustee Three

IMMA LAGUERRE
BOARD MEMBER
431 COTTMAN AVENUE
CHELTENHAM PA 19111

Organization’s website
Organization’s email LHBRS2018@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
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 Yes
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 DAHANNA NICOLAS
Signature Title PRESIDENT
Signature Date 12/12/18

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