Return of Organization Exempt from Income
PUBLIC DISCLOSURE COPY OMB No. 1545-0047 Form 990 Return of Organization Exempt From Income Tax Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) 2013 ▶ Do not enter Social Security numbers on this form as it may be made public. Open to Public Department of the Treasury Internal Revenue Service ▶ Information about Form 990 and its instructions is at www.irs.gov/form990. Inspection A For the 2013 calendar year, or tax year beginning , 2013, and ending , 20 B Check if applicable: C Name of organization LAUREL LAKE RETIREMENT COMMUNITY D Employer identification number Address change Doing Business As 34-1481142 Name change Number and street (or P.O. box if mail is not delivered to street address) Room/suite E Telephone number Initial return 200 LAUREL LAKE DRIVE (330)650-0681 Terminated City or town, state or province, country, and ZIP or foreign postal code Amended return HUDSON, OH 44236 G Gross receipts $ 25,609,783 Application pending F Name and address of principal officer: DAVID A. OSTER H(a) Is this a group return for subordinates? Yes ✔ No 200 LAUREL LAKE DRIVE, HUDSON, OH 44236 H(b) Are all subordinates included? Yes No I Tax-exempt status: ✔ 501(c)(3) 501(c) ( ) ◀ (insert no.) 4947(a)(1) or 527 If “No,” attach a list. (see instructions) J Website: ▶ WWW.LAURELLAKE.ORG H(c) Group exemption number ▶ 0928 K Form of organization: ✔ Corporation Trust Association Other ▶ L Year of formation: 1989 M State of legal domicile: OH Part I Summary 1 Briefly describe the organization’s mission or most significant activities: LAUREL LAKE EXTENDS THE HEALING MINISTRY OF JESUS BY IMPROVING THE HEALTH OF OUR COMMUNITIES.
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