FORM 1023-EZ for CARE FOR AMERICAS WORKERS

Field Data
EIN 47-4779731
Case Number EO-2016323-000176
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARE FOR AMERICAS WORKERS
Organization’s Mailing Address 1172 OLD SALEM RD
City CONYERS
State GA
ZIP 30094
Accounting period End 12
Primary contact name JESSICA LANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA LANE
CHAIRMAN
1172 OLD SALEM ROAD
CONYERS GA 30094

Organization’s website WWW.CFAW.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support 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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
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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