FORM 1023-EZ for KIMS HOME CARE SERVICES NFP

Field Data
EIN 83-0643007
Case Number EO-2018183-000134
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIMS HOME CARE SERVICES NFP
Organization’s Mailing Address 1664 MOLITOR ROAD APT D
City AURORA
State IL
ZIP 60505
Accounting period End 12
Primary contact name KIM SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIM SMITH
DIRECTOR
1664 MOLITOR ROAD APT D
AURORA IL 60505

Officer/Director/Trustee Two

TAMARA KNOX
DIRECTOR
1910 LILAC LANE
AURORA IL 60505

Officer/Director/Trustee Three

SHAWN MAMON
DIRECTOR
1460 NORTH FARNSWORTH AVENUE APT 1
AURORA IL 60505

Officer/Director/Trustee Four

CHYANNE FELIX
DIRECTOR
1664 MOLIRO ROAD APT D
AURORA IL 60505

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/17
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
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 KIM SMITH
Signature Title DIRECTOR
Signature Date 6/28/18

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