FORM 1023-EZ for I-CARE HOMELESS KITS

Field Data
EIN 83-3087234
Case Number EO-2019035-000743
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name I-CARE HOMELESS KITS
Organization’s Mailing Address 4173 W TWILIGHT DR
City SALT LAKE CTY
State UT
ZIP 84118
Accounting period End 1
Primary contact name JERRENE NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERRENE NELSON
FOUNDER
4173 W TWILIGHT DR
SALT LAKE CITY UT 84118

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/10/19
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JERRENE NELSON
Signature Title FOUNDER
Signature Date 1/12/19

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