FORM 1023-EZ for UNITED CARE FOUNDATION

Field Data
EIN 84-2697877
Case Number EO-2019312-000017
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNITED CARE FOUNDATION
Organization’s Mailing Address 2233 WATT AVE STE 120
City SACRAMENTO
State CA
ZIP 95825
Accounting period End 12
Primary contact name SIMA DERMISHYAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SIMA DERMISHYAN
CEO
2233 WATT AVE STE 120
SACRAMENTO CA 95825

Officer/Director/Trustee Two

SAMUEL YARMAGYAN
SECRETARY
2233 WATT AVE STE 120
SACRAMENTO CA 95825

Officer/Director/Trustee Three

NATALYA NEVEROV
CFO
2233 WATT AVE STE 120
SACRAMENTO CA 95825

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support 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 Yes
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 Yes
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 SIMA DERMISHYAN
Signature Title CEO
Signature Date 11/6/19

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