FORM 1023-EZ for PLEASANT HILL CARES INC

Field Data
EIN 83-1197120
Case Number EO-2018204-000433
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PLEASANT HILL CARES INC
Organization’s Mailing Address 26511 E 203RD ST
City PLEASANT HILL
State MO
ZIP 64080
Accounting period End 12
Primary contact name DANIELLE SCAVUZZO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JON MOONEYHAM
PRESIDENT
26511 E 203RD ST
PLEASANT HILL MO 64080

Officer/Director/Trustee Two

DENNIS WOODS
VICE PRESIDENT
25903 E 203RD ST
PLEASANT HILL MO 64080

Officer/Director/Trustee Three

TINA BRICKER
SECRETARY
25900 E 203RD ST
PLEASANT HILL MO 64080

Officer/Director/Trustee Four

NICHOLAS BECK
CHAIRMAN OF THE BOARD
502 BENTON ST
PLEASANT HILL MO 64080

Officer/Director/Trustee Five

JENNIFER GENTRY
TREASURER
29215 E 158TH ST
PLEASANT HILL MO 64080

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - 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 Yes
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 Yes
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 JON MOONEYHAM
Signature Title PRESIDENT
Signature Date 7/20/18

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