FORM 1023-EZ for OMEGA CARE FOUNDATION INC

Field Data
EIN 83-3218925
Case Number EO-2019094-000278
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OMEGA CARE FOUNDATION INC
Organization’s Mailing Address 10213 N 66TH AVE
City GLENDALE
State AZ
ZIP 85302
Accounting period End 12
Primary contact name BRYAN RISLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA STUBBS
PRESIDENT, DIRECTOR
522 N CENTRAL AVE 831
PHOENIX AZ 85004

Officer/Director/Trustee Two

JAMES MCILWRAITH
VICE PRESIDENT, DIRECTOR
522 N CENTRAL AVE 831
PHOENIX AZ 85004

Officer/Director/Trustee Three

EILEEN OBRIAN
SECRETARY, DIRECTOR
522 N CENTRAL AVE 831
PHOENIX AZ 85004

Officer/Director/Trustee Four

BRYAN RISLEY
DIRECTOR
522 N CENTRAL AVE 831
PHOENIX AZ 85004

Officer/Director/Trustee Five

ANDY SCHWANDT
DIRECTOR
522 N CENTRAL AVE 831
PHOENIX AZ 85004

Organization’s website HTTPS://WWW.OMEGACAREFOUN
Organization’s email BRYAN.RISLEY@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/19
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
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 Yes
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 PATRICIA STUBBS
Signature Title PRESIDENT, DIRECTOR
Signature Date 4/2/19

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