FORM 1023-EZ for FOREFRONT COMMUNITY THERAPY INC

Field Data
EIN 84-3272711
Case Number EO-2019280-000439
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOREFRONT COMMUNITY THERAPY INC
Organization’s Mailing Address 101 NW 1ST STREET
City EVANSVILLE
State IN
ZIP 47708
Accounting period End 12
Primary contact name RYAN WOOD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN WOOD
PRESIDENT
101 NW 1ST STREET
EVANSVILLE IN 47708

Officer/Director/Trustee Two

ZACHARY LAGRANGE
SECRETARY
101 NW 1ST STREET
EVANSVILLE IN 47708

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E30 - Health Treatment Facilities, Primarily Outpatient
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
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 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 RYAN WOOD
Signature Title CEO
Signature Date 10/4/19

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