FORM 1023-EZ for CAST YOUR CARES SOBER LIVING HOME

Field Data
EIN 84-3826908
Case Number EO-2020091-000122
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAST YOUR CARES SOBER LIVING HOME
Organization’s Mailing Address 1428 E 16TH STREET
City DES MOINES
State IA
ZIP 50316
Accounting period End 12
Primary contact name CHELSEA CLAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHELSEA CLAY
DIRECTOR
1428 E 16TH STREET
DES MOINES IA 50316

Officer/Director/Trustee Two

DWIGHT REED
DIRECTOR
1230 E 17TH ST
DES MOINES IA 50316

Officer/Director/Trustee Three

BELETA BUTTS
DIRECTOR
2808 E 16TH STREET APT 12
DES MOINES IA 50316

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2020
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I31 - Transitional Care, Half-Way House for Offenders, Ex-Offenders
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHELSEA CLAY
Signature Title DIRECTOR
Signature Date 3/27/2020

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