FORM 1023-EZ for ILLUSIVE CARE FOUNDATION

Field Data
EIN 86-3508767
Case Number EO-2021147-000023
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ILLUSIVE CARE FOUNDATION
Organization’s Mailing Address 12701 KORNBLUM AVE APT A
City HAWTHORNE
State CA
ZIP 90250
Accounting period End 12
Primary contact name JOHN ONUIGBO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN FLOWERS
PRESIDENT
12701 KORNBLUM AVE APT A
HAWTHORNE CA 90250

Officer/Director/Trustee Two

KARIM GORDON
SECRETARY
12701 KORNBLUM AVE APT A
HAWTHORNE CA 90250

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief 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 No
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 RYAN FLOWERS
Signature Title PRESIDENT
Signature Date 5/25/2021

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