FORM 1023-EZ for YOUNGSTOWN ADULT TOWNSHIP CONVALECENT HOMES

Field Data
EIN 47-2552005
Case Number EO-2015194-000271
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YOUNGSTOWN ADULT TOWNSHIP CONVALECENT HOMES
Organization’s Mailing Address 1706 PERRY COURT
City PROSPECT
State KY
ZIP 40059
Accounting period End 12
Primary contact name LORA M MERCURIO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LORA MERCURIO
PRESIDENT
1706 PERRY COURT
PROSPECT KY 40059

Officer/Director/Trustee Two

KEVIN RIES
VICE-PRESIDENT
7701 HERMITS RUN ROAD
LOUISVILLE KY 40291

Officer/Director/Trustee Three

PENNY MADDEN
SECRETARY
1621 MCTAVISH DRIVE
CLARKSVILLE IN 47129

Officer/Director/Trustee Four

ANNE WEAVER
DIRECTOR
6707 RENATE ROAD
LOUISVILLE KY 40291

Officer/Director/Trustee Five

BILLIE JO RIES
DIRECTOR
7701 HERMITS RUN ROAD
LOUISVILLE KY 40291

Organization’s website
Organization’s email YOUNGSTOWN2155@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/2014
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E91 - Nursing, Convalescent Facilities
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 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
Signature Title
Signature Date

Recently Saved Organizations

Click on the save icon from a search results or organization page.