FORM 1023-EZ for OUR MOMS CARE INC

Field Data
EIN 81-5252886
Case Number EO-2018107-000060
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OUR MOMS CARE INC
Organization’s Mailing Address 15929 WHITE CLOUD WAY
City VICTORVILLE
State CA
ZIP 92394-6766
Accounting period End 12
Primary contact name LAURIE FRAZIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURIE FRAZIER
CHIEF EXECUTIVE OFFICER
1608 RADFORD PL
MONROVIA CA 91016-4431

Officer/Director/Trustee Two

WENDY LOWE
SECRETARY
14998 PRESTON DR
FONTANA CA 92336-5526

Officer/Director/Trustee Three

GWENDOLYN GRIFFIN
CHIEF FINANCIAL OFFICE
15133 GOSHEN CT
VICTORVILLE CA 92394-6743

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 LAURIE FRAZIER
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 3/23/18

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