FORM 1023-EZ for CAM CARES FOUNDATION

Field Data
EIN 85-0574042
Case Number EO-2020098-000082
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAM CARES FOUNDATION
Organization’s Mailing Address 4235 CREEK MANOR CV
City MEMPHIS
State TN
ZIP 38125
Accounting period End 12
Primary contact name KEYIA BURNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEYIA BURNETT
DIRECTOR
3151 STILLHOUSE CREEK DR 25306
ATLANTA GA 30339

Officer/Director/Trustee Two

JUSTIN TATE
DIRECTOR
3960 LAKEMONT DRIVE
MEMPHIS TN 38128

Officer/Director/Trustee Three

JOYA ROY
DIRECTOR
4890 HARVEST KNOLL LN
MEMPHIS TN 38125

Officer/Director/Trustee Four

PAIGE ROY
DIRECTOR
12199 GRAND RIDGE LANE
ARLINGTON TN 38002

Officer/Director/Trustee Five

SYLEENA JONES
DIRECTOR
3675 WOODGLADE LANE
MREMPHIS TN 38116

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2020
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 KEYIA BURNETT
Signature Title DIRECTOR
Signature Date 4/1/2020

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