FORM 1023-EZ for EPIPHANY CARE GROUP INC
| Field | Data |
|---|---|
| EIN | 83-1010771 |
| Case Number | EO-2019080-000526 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | EPIPHANY CARE GROUP INC |
| Organization’s Mailing Address | PO BOX 61443 |
| City | JACKSONVILLE |
| State | FL |
| ZIP | 32219 |
| Accounting period End | 12 |
| Primary contact name | SEKETA CULVER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SEKETA CULVER
PRESIDENT
7199 RUTLAND CT
JACKSONVILLE FL 32219
Officer/Director/Trustee Two
CYNTHIA IVORY
OFFICER
9165 STARPASS DR
JACKSONVILLE FL 32256
Officer/Director/Trustee Three
NICHOLE WILLIAMS
OFFICER
6521 HARMON HILLS CIRCLE
JACKSONVILLE FL 32222
Officer/Director/Trustee Four
KATHERINE ROBINSON
OFFFICER
9033 GREENLEAF RD
JACKSONVILLE FL 32208
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/15/19 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P30 - Children's, Youth 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 | 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 | SEKETA CULVER |
| Signature Title | PRESIDENT |
| Signature Date | 3/19/19 |
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