FORM 1023-EZ for CAMP-PERICARE INC

Field Data
EIN 81-1095518
Case Number EO-2016053-000067
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMP-PERICARE INC
Organization’s Mailing Address 830 LIVE OAK AVE
City ORANGE CITY
State FL
ZIP 32763
Accounting period End 12
Primary contact name FINWICK PIARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

FINWICK PIARD
PRESIDENT
830 LIVE OAK AVE
ORANGE CITY FL 32763

Officer/Director/Trustee Two

TINA WESTFALL
TREASURER
830 LIVE OAK AVE
ORANGE CITY FL 32763

Officer/Director/Trustee Three

AIMEE GODDARD
SECRETARY
942 MALDEN CT
LONGWOOD FL 32750

Officer/Director/Trustee Four

MARIE VALERE
DIRECTOR
7218 GREENWOOD POINT DR
CYPRESS TX 77433

Organization’s website
Organization’s email FPIARD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2016
Organization Incorporation State FL
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: 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 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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