FORM 1023-EZ for INTEGRATED COMMUNITY LIVING AND PARTICIPATION INC

Field Data
EIN 83-0866397
Case Number EO-2018204-000210
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INTEGRATED COMMUNITY LIVING AND PARTICIPATION INC
Organization’s Mailing Address 2835 SPRINGHAVEN PL
City MACUNGIE
State PA
ZIP 18062
Accounting period End 12
Primary contact name LINGINGSTONE GONGOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LIVINGSTONE GONGOR
PRESIDENT
2835 SPRING HAVEN PLACE
MACUNGIE PA 18062

Officer/Director/Trustee Two

FELICIA GONGOR
BOARD MEMBER
2835 SPRING HAVEN PLACE
MACUNGIE PA 18062

Officer/Director/Trustee Three

RHONDA JOINE
BOARD MEMBER
218 PLYMOUTH 5FT
QUAKERTOWN PA 18951

Officer/Director/Trustee Four

EMMANUEL HELB
BOARD MEMBER
14 S BRADFORD ST
ALLENTOWN PA 18108

Officer/Director/Trustee Five

PRINCE MAH
BOARD MEMBER
2870 SEQUOIA DR
MACUNGIE PA 18062

Organization’s website
Organization’s email INTEGRATEDCOMMUNITYLIVING@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/18
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: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 LIVINGSTONE GONGOR
Signature Title PRESIDENT
Signature Date 7/19/18

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