FORM 1023-EZ for CAPSCARE UNIVERSITY INC

Field Data
EIN 83-2902837
Case Number EO-2019038-000630
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAPSCARE UNIVERSITY INC
Organization’s Mailing Address 700 SMITH ST 61070 SMB 3959
City HOUSTON
State TX
ZIP 77002
Accounting period End 12
Primary contact name TANYA HACKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SIERRA CHANTEL BOLDEN CULLEN
CHIEF EXECUTIVE OFFICER
5878 WILLOW TRACE AVE
LAS VEGAS, NV 89139

Officer/Director/Trustee Two

ALEXANDRIA CHRISTINA
TREASURER
193 E WARM SPRINGS
LAS VEGAS NV 89119

Officer/Director/Trustee Three

SAVANNAH TATIANA
CHAIRPERSON OF THE GOVERNING BODY
193 E WARM SPRINGS
LAS VEGAS NV 89119

Officer/Director/Trustee Four

OSHUNE BOLDEN
OFFICERS, DIRECTORS, AND TRUSTEES
4700 N DIXIE HIGHWAY
OAKLAND PARK FL 33334

Officer/Director/Trustee Five

OSHUNE BOLDEN
OFFICERS, DIRECTORS, AND TRUSTEES
7620 WASHINGTON RD
WEST PALM BEACH FL 33405

Organization’s website CAPSCARE.UNIVERSITY
Organization’s email SIERRA@CAPSCARE.UNIVERSITY
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B43 - University or Technological Institute
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 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 SIERRA CHANTEL BOLDEN CULLEN
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 2/1/19

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