FORM 1023-EZ for I CARE4US

Field Data
EIN 32-0610201
Case Number EO-2021035-000068
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name I CARE4US
Organization’s Mailing Address 16747 SWEENEY LN
City WOODBRIDGE
State VA
ZIP 22191
Accounting period End 12
Primary contact name ANNE-MARIE ATSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNE-MARIE ATSE
C.E.O
16747 SWEENEY LN
WOODBRIDGE VA 22191

Officer/Director/Trustee Two

MAMADOU CISSOKO
MANAGER
16747 SWEENEY LN
WOODBRIDGE VA 22191

Officer/Director/Trustee Four

MATHURIN GBETIBOUO
OFFICER
14109 TATTERSHALL PLACE
GERMANTOWN MD 20874

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/2019
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - Fund Raising and/or Fund Distribution
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 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) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANNE-MARIE ATSE
Signature Title C.E.O
Signature Date 12/17/2020

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