FORM 1023-EZ for KISHA CARES

Field Data
EIN 84-2158876
Case Number EO-2020021-000470
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KISHA CARES
Organization’s Mailing Address 541 PASCHAL AVE
City TRUMAN
State AR
ZIP 72472
Accounting period End 12
Primary contact name LAKEISHA ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAKEISHA ADAMS
CEO
541 PASCHAL AVE
TRUMAN AR 72472

Officer/Director/Trustee Two

MELANIE CARTER
VICE PRESIDENT
713 LOUIS ST
MARKED TREE AR 72365

Officer/Director/Trustee Three

ELIZABETH SWIFT
SECRETARY
117 OWENS ST
MARKED TREE AR 72365

Officer/Director/Trustee Four

TOBY WATSON
TREASURER
1225 2ND ST
TRUMAN AR 72472

Officer/Director/Trustee Five

TIESHA BELL
PRESIDENT
809 TENNESSEE ST
EARLE AR 72331

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/2018
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LAKEISHA ADAMS
Signature Title CEO
Signature Date 1/17/2020

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