FORM 1023-EZ for THE CARE KIT FOUNDATION

Field Data
EIN 85-3924780
Case Number EO-2021083-001009
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CARE KIT FOUNDATION
Organization’s Mailing Address 17221 POINTE DRIVE
City ORLAND PARK
State IL
ZIP 60467
Accounting period End 5
Primary contact name KERRY TOTH ROST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN ROST
PRESIDENT
17221 POINTE DRIVE
ORLAND PARK IL 60467

Officer/Director/Trustee Two

DAVID PYGON
VICE PRESIDENT
1841 S CALUMET AVE UNIT T7
CHICAGO IL 60616

Officer/Director/Trustee Three

SAMUEL ROST
CORPORATE SECRETARY & TREASURER
17221 POINTE DRIVE
ORLAND PARK IL 60467

Officer/Director/Trustee Four

LISA MORREY
BOARD MEMBER
18057 VOSS DR
ORLAND PARK IL 60467

Officer/Director/Trustee Five

LESLIE MOYAR
BOARD MEMBER
9110 S DAME AVE
CHICAGO IL 60643

Organization’s website www.thecarekitfoundation.org
Organization’s email jkrost@comcast.net
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2020
Organization Incorporation State IL
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 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 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 SAMUEL ROST
Signature Title CORPORATE SECRETARY & TREASURER
Signature Date 11/17/2020

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