FORM 1023-EZ for IN TOWN HOME HEALTH CARE INC

Field Data
EIN 47-4750600
Case Number EO-2016357-000209
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IN TOWN HOME HEALTH CARE INC
Organization’s Mailing Address 14350 S W KANNER HWY
City INDIANTOWN
State FL
ZIP 34956-3120
Accounting period End 12
Primary contact name DOROTHY WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MUHAMMAD NOORUDDIN
PRESIDENT
7993 STEEPLE CHASE CT
PORT ST. LUCIE FL 34986-3120

Officer/Director/Trustee Two

THELMA WATERS
SEC.
PO BOX 22
INDANTOWN FL 34956-0022

Officer/Director/Trustee Three

MUHAMMAD SIDDIQUI
TRES
130 RONALD DR
WEST PARK FL 33023-5253

Officer/Director/Trustee Four

MUHAMMAD FARHAN
VICE-PRESIDENT
5421 NW 95TH AVE
SUNRISE FL 33351-7711

Organization’s website
Organization’s email NOORUDDIN64@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical Services
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

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