FORM 1023-EZ for KIESHA CARES CORPORATION

Field Data
EIN 85-2836334
Case Number EO-2021063-000280
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIESHA CARES CORPORATION
Organization’s Mailing Address 270 E PENN STREET
City PHILADELPHIA
State PA
ZIP 19144-1710
Accounting period End 6
Primary contact name JOHN ELLIOTT CHURCHVILLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIESHA GARNER
PRESIDENT
270 E PENN STREET
PHILADELPHIA PA 19144-1710

Officer/Director/Trustee Two

KODY TAYLOR
BOARD MEMBER
2 WHALENS COURT
DREXEL HILL PA 19026-3400

Officer/Director/Trustee Three

NICOLE ADAMSON
BOARD MEMBER
2709 N 45TH STREET
PHILADELPHIA PA 19131-1516

Officer/Director/Trustee Four

JOHN ELLIOTT CHURCHVILLE
BOARD MEMBER
45 E PENN STREET
PHILADELPHIA PA 19144-2346

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/2020
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 JOHN ELLIOTT CHURCHVILLE
Signature Title BOARD MEMBER
Signature Date 12/31/2020

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