FORM 1023-EZ for SIR HOME CARES INC

Field Data
EIN 84-3815555
Case Number EO-2019333-000309
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SIR HOME CARES INC
Organization’s Mailing Address 14123 C B MACDONALD WAY
City VICKSBURG
State MI
ZIP 49097
Accounting period End 12
Primary contact name FRANK L MUMFORD III
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANK MUMFORD
PRESIDENT
14123 CB MACDONALD WAY
VICKSBURG MI 49097

Officer/Director/Trustee Two

BEV KISON
DIRECTOR
14123 CB MACDONALD WAY
VICKSBURG MI 49097

Officer/Director/Trustee Three

BRANT GAUTHIER
DIRECTOR
14123 CB MACDONALD WAY
VICKSBURG MI 49097

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/22/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L81 - Home Improvement and Repairs
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 Yes
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 FRANK MUMFORD
Signature Title PRESIDENT
Signature Date 11/27/19

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