FORM 1023-EZ for CARES BEHAVIORAL SERVICES-WC

Field Data
EIN 47-1590692
Case Number EO-2014234-000233
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARES BEHAVIORAL SERVICES-WC
Organization’s Mailing Address 1116 STATE STREET
City PINE BLUFF
State AR
ZIP 71601
Accounting period End 12
Primary contact name PATSY PACE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATSY PACE
DIRECTOR
PO BOX 20301
WHITE HALL AR 71612

Officer/Director/Trustee Two

CHASSITY PACE
ASST. DIRECTOR/MANAGER
PO BOX
WHITE HALL AR 71612

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/2014
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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
Signature Title
Signature Date

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