FORM 1023-EZ for CO-RESIDENCY INC

Field Data
EIN 85-1213263
Case Number EO-2021100-000328
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CO-RESIDENCY INC
Organization’s Mailing Address 13407 KENT STREET
City NAPLES
State FL
ZIP 34109
Accounting period End 12
Primary contact name MICHAEL SEAN HEADRICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL SEAN HEADRICK
PRESIDENT
13407 KENT STREET
NAPLES FL 34109

Officer/Director/Trustee Two

ERICK ALONSO BARQUERO MADRIGAL
VICE PRESIDENT
115 W 71ST STREET APT 7D
NEW YORK NY 10023

Officer/Director/Trustee Three

DANIELLE LEEANN CHIN
DIRECTOR
457 W 57TH STREET APT 912
NEW YORK NY 10019

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2020
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
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 MICHAEL SEAN HEADRICK
Signature Title PRESIDENT
Signature Date 3/25/2021

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