FORM 1023-EZ for H AND E INDEPENDENT LIVING CARE INC

Field Data
EIN 83-4467663
Case Number EO-2020262-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name H AND E INDEPENDENT LIVING CARE INC
Organization’s Mailing Address 6430 LAUREN COURT
City ORLANDDO
State FL
ZIP 32818
Accounting period End 12
Primary contact name HAROLD JEAN PIERRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HAROLD JEAN PIERRE
PRESIDENT CEO
6430 LAUREN COURT
ORLANDO FL 32818

Officer/Director/Trustee Two

MARIE AUGUSTIN
VICE PRESIDENT
6430 LAUREN COURT
ORLANDO FL 32818

Officer/Director/Trustee Three

EMMANUHEROLANGE AUGUSTIN
SECRETARY
6430 LAUREN COURT
ORLANDO FL 32818

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 HAROLD JEAN PIERRE
Signature Title PRESIDENT CEO
Signature Date 9/16/2020

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