FORM 1023-EZ for TAYYBAT PERSONAL CARE SERVICES INC

Field Data
EIN 81-3705499
Case Number EO-2017038-000251
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TAYYBAT PERSONAL CARE SERVICES INC
Organization’s Mailing Address 415 EAST VINE STREET SUITE 213
City MILWAUKEE
State WI
ZIP 53212
Accounting period End 12
Primary contact name KRASHANDA CLEVELAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRASHANDA CLEVELAND
CEO
415 EAST VINE STREET 213
MILWAUKEE WI 53212

Officer/Director/Trustee Two

MOHAMED KASIM
PRESIDENT
529 EAST LINUS
MILWAUKEE WI 53207

Officer/Director/Trustee Three

MOHAMED HAMID
CFO
529 EAST LINUS
MILWAUKEE WI 53207

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E92 - Home Health Care
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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