FORM 1023-EZ for ULTRACARE CHARITABLE FOUNDATION
| Field | Data |
|---|---|
| EIN | 47-2257223 |
| Case Number | EO-2018012-000283 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ULTRACARE CHARITABLE FOUNDATION |
| Organization’s Mailing Address | 17536 YELLOWWOOD WAY |
| City | CARSON |
| State | CA |
| ZIP | 90746 |
| Accounting period End | 12 |
| Primary contact name | LESLEE DEANES |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ADRIAN MILLER
CEO/DIRECTOR
450 EL CAMINO
BEVERLY HILLS CA 90212
Officer/Director/Trustee Two
STACIE WADE
SECRETARY/DIRECTOR
2901 W 82ND ST
INGLEWOOD CA 90305
Officer/Director/Trustee Three
LESLEE DEANES
CFO/DIRECTOR
17536 YELLOWWOOD WAY
CARSON CA 90746
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/19/14 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | Yes |
| Correctness Declaration | Yes |
| Signature Name | LESLEE DEANES |
| Signature Title | CFO/DIRECTOR |
| Signature Date | 1/10/18 |
| EIN | 47-2257223 |
| Case Number | EO-2015292-000381 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | ULTRACARE CHARITABLE FOUNDATION |
| Organization’s Mailing Address | 3007 W 79TH STREET |
| City | INGLEWOOD |
| State | CA |
| ZIP | 90305 |
| Accounting period End | 12 |
| Primary contact name | LESLEE DEANES |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
ADRIAN MILLER
CEO/DIRECTOR
450 EL CAMINO
BEVERLY HILLS CA 90212
Officer/Director/Trustee Two
STACIE WADE
SECRETARY/DIRECTOR
2901 W 82ND STREET
INGLEWOOD CA 90305
Officer/Director/Trustee Three
LESLEE DEANES
CFO/DIRECTOR
3007 W 79TH STREET
INGLEWOOD CA 90305
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/5/2014 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P80 - Services to Promote the Independence of Specific Populations |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | 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 | |
| Signature Title | |
| Signature Date |
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