FORM 1023-EZ for WILLIE C AND JENNIE LEE MOORE CAREFOUNDATION INC

Field Data
EIN 46-4130734
Case Number EO-2015166-000172
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WILLIE C AND JENNIE LEE MOORE CAREFOUNDATION INC
Organization’s Mailing Address 99 NW 183RD STREET SUITE 242C
City MIAMI
State FL
ZIP 33169-4502
Accounting period End 12
Primary contact name MICHELE HAYWOOD PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHELE HAYWOOD
PRESIDENT
4235 NW 201 STREET
MIAMI GARDENS FL 33055-1311

Officer/Director/Trustee Two

KRYSTAL FLEMING
SECRETARY
252 NW 64TH STREET
MIAMI FL 33150-4456

Officer/Director/Trustee Three

MILDRED MITCHELL
TREASURER
6701 JOHNSON STREET
HOLLYWOOD FL 33024-5777

Officer/Director/Trustee Four

JASSMINE STAFFORD
VICE PRESIDENT
99 NW 183RD STREET SUITE 242C
MIAMI FL 33169-4502

Officer/Director/Trustee Five

KIDADA FISHER
DIRECTOR
5815 NW 12TH AVE APT 4
MIAMI FL 33127-1356

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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
Signature Title
Signature Date

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