FORM 1023-EZ for ICARE FOUNDATION INCORPORATED

Field Data
EIN 46-4638439
Case Number EO-2015054-000206
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ICARE FOUNDATION INCORPORATED
Organization’s Mailing Address 90 VISTA POINTE DRIVE APT B
City WILDER
State KY
ZIP 41071
Accounting period End 12
Primary contact name KACIE LEAVELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KACIE LEAVELL
CEO
90 VISTA POINTE DRIVE APT B
WILDER KY 41071

Officer/Director/Trustee Two

ANNA MORRIS
BOARD OF DIRECTORS
3646 WOODFORD ROAD APT 201
CINCINNATI OH 45213

Officer/Director/Trustee Three

CRYSTAL SIMMONS
BOARD OF DIRECTORS
1116 LINCOLN AVENUE
CINCINNATI OH 45206

Officer/Director/Trustee Four

SHEILA JACKSON-CONLEY
BOARD OF DIRECTORS
1414 ROBINWOOD AVENUE
CINCINNATI OH 45237

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/2015
Organization Incorporation State KY
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: Yes
Scientific: No
Literary: Yes
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 Yes
Conducting Activities Outside of United States Yes
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
Signature Title
Signature Date

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