FORM 1023-EZ for COALITION OF ASSISTED LIVING PROVIDERS

Field Data
EIN 47-3221684
Case Number EO-2015100-000204
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COALITION OF ASSISTED LIVING PROVIDERS
Organization’s Mailing Address 15 SLOAN LANE
City PASADENA
State MD
ZIP 21122
Accounting period End 12
Primary contact name KAZIM PARKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAZIM PARKER
PRESIDENT
15 SLOAN LANE
PASADENA MD 21122

Officer/Director/Trustee Two

MAVIS PAYNE
VICE PRESIDENT
2950 FERN HILL PLACE
WALDORF MD 20603

Officer/Director/Trustee Three

NANCY MATHONEY
TREASURER
8205 TYSON ROAD
ELLICOT CITY MD 21043

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2015
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 Yes
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 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
Signature Title
Signature Date

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