FORM 1023-EZ for GUARDIAN KARE RESIDENTIAL SUITES CORP

Field Data
EIN 86-2188349
Case Number EO-2021102-000830
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GUARDIAN KARE RESIDENTIAL SUITES CORP
Organization’s Mailing Address 3704 OAK GROVE DR
City MIDWEST CITY
State OK
ZIP 73110
Accounting period End 12
Primary contact name KIMALA HUBBARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMALA HUBBARD
CEO
3704 OAK GROVE DR
MIDWEST CITY OK 73110

Officer/Director/Trustee Two

KONGKEO KETNOURATH
CFO
25 CARRIER ST
LIBERTY NY 12754

Officer/Director/Trustee Three

REYNOLD MEYERS
COO
10 ARDRA CT
SMITHTWON NY 11787

Officer/Director/Trustee Four

WILLIAMS PENN
BOAD MEMBER
11117 SPRINGHOLLOW CT
OKLAHOMA CITY OK 73120

Officer/Director/Trustee Five

THEODIS MANNING
BOARD MEMBER
10000 SE 55TH ST
OKLAHOMA CITY OK 73150

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/2021
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L22 - Senior Citizens' Housing/Retirement Communities
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 KIMALA HUBBARD
Signature Title CEO
Signature Date 4/2/2021

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