| Field | Data |
|---|---|
| EIN | 84-2182503 |
| Case Number | EO-2019297-000266 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LADY DS COMMUNITY HEALTHCARE SERVICES INC |
| Organization’s Mailing Address | 2105 FORSTER STREET |
| City | HARRISBURG |
| State | PA |
| ZIP | 17103 |
| Accounting period End | 12 |
| Primary contact name | JUANITA GRANT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
SYLVIA DAVENPORT
FOUNDER/EXECUTIVE DIRECTOR
2105 FORSTER STREET
HARRISBURG PA 17103
KEVON CARRINGTON
BOARD PRESIDENT
2105 FORSTER STREET
HARRISBURG PA 17103
AVIS CHISHOLM
BOARD TREASURER
2105 FORSTER STREET
HARRISBURG PA 17103
EMMA ZAPATA
BOARD SECRETARY
2105 FORSTER STREET
HARRISBURG PA 17103
CHRISTINA WHITE
BOARD MEMBER
2105 FORSTER STREET
HARRISBURG PA 17103
| Organization’s website | |
|---|---|
| Organization’s email | CHIZBOYZ@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/31/19 |
| Organization Incorporation State | PA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | SYLVIA DAVENPORT |
| Signature Title | FOUNDER/EXECUTIVE DIRECTOR |
| Signature Date | 10/19/19 |
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