FORM 1023-EZ for BOOMERS R HEROES CAREGIVER SUPPORT GROUP INC

Field Data
EIN 47-4675502
Case Number EO-2018012-000371
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOOMERS R HEROES CAREGIVER SUPPORT GROUP INC
Organization’s Mailing Address 315 W JOHNSON ST APT 401
City PHILADELPHIA
State PA
ZIP 19144
Accounting period End 6
Primary contact name JEAN KIRKLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEAN KIRKLEY
PRESIDENT/CEO
315 W JOHNSON STREET APT 401
PHILADELPHIA PA 19144

Officer/Director/Trustee Two

KATHY BURRELL-SUTTON
VP- PUBLIC RELATIONS
939 E DURARD ST
PHILADELPHIA PA 19150

Officer/Director/Trustee Three

CHARLES SUTTON
VP - MARKETING
939 E DURARD ST
PHILADELPHIA PA 19150

Officer/Director/Trustee Four

LINDA BAKER
TREASURER
1014 E SYDNEY ST
PHILADELPHIA PA 19150

Officer/Director/Trustee Five

GORETTI MARIA GOSS
SECRETARY
1500 W PAGE ST APT 16A
PHILADELPHIA PA 19121-2344

Organization’s website WWW.BOOMERSRHEROES.ORG
Organization’s email JEAN.KIRKLEY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/15
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JEAN KIRKLEY
Signature Title PRESIDENT/CEO
Signature Date 1/10/18

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