FORM 1023-EZ for CARRIE INC

Field Data
EIN 46-0559055
Case Number EO-2017114-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARRIE INC
Organization’s Mailing Address 99059 KAAMILO STREET
City AIEA
State HI
ZIP 96701-5426
Accounting period End 12
Primary contact name PREVITA JASPER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRY JASPER
EXECUTIVE DIRECTOR
99059 KAAMILO STREET
AIEA HI 96701-5426

Officer/Director/Trustee Two

PREVITA JASPER
SECRETARY TREASURER
99059 KAAMILO STREET
AIEA HI 96701-5426

Organization’s website
Organization’s email TJASPER2ND.CHANCE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/29/2012
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L99 - Housing, Shelter N.E.C.
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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