FORM 1023-EZ for CONTRIBUCARE CORP

Field Data
EIN 37-1992218
Case Number EO-2021100-000505
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONTRIBUCARE CORP
Organization’s Mailing Address 9808 CLAGETT FARM DRIVE
City POTOMAC
State MD
ZIP 20854-2000
Accounting period End 12
Primary contact name ALLEN TANG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALLEN TANG
PRESIDENT
9808 CLAGETT FARM DRIVE
POTOMAC MD 20854-2000

Officer/Director/Trustee Two

ROHIN GARG
VICE PRESIDENT
10401 RIVER ROAD
POTOMAC MD 20854-4912

Officer/Director/Trustee Three

DYLAN CHANG
TREASURER
13216 MAPLECREST DRIVE
POTOMAC MD 20854-6337

Officer/Director/Trustee Four

SHERRY ZHUGE
SECRETARY
10509 BEECHKNOLL LANE
POTOMAC MD 20854-6405

Officer/Director/Trustee Five

ZACHARY LIDL
DIRECTOR
11613 KAREN DRIVE
POTOMAC MD 20854-3153

Organization’s website HTTPS://CONTRIBUCARE.WIXSITE.COM/CONTRIBUCARE
Organization’s email CONTRIBUCARE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2020
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALLEN TANG
Signature Title PRESIDENT
Signature Date 3/25/2021

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