FORM 1023-EZ for QUICKCARE INC

Field Data
EIN 82-0814294
Case Number EO-2017110-000153
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name QUICKCARE INC
Organization’s Mailing Address 1730 ELLA T GRASSO BLVD
City NEW HAVEN
State CT
ZIP 06511-1602
Accounting period End 12
Primary contact name ELISABETH CROSBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELISABETH CROSBY
PRESIDENT
1730 ELLA T GRASSO BLVD
NEW HAVEN CT 05611-1602

Officer/Director/Trustee Two

ERIN ALBRIGHT
SECRETARY
205 SEASIDE AVENUE
MILFORD CT 06460-4601

Officer/Director/Trustee Three

ISABELLA MAZZUCCO
VICE PRESIDENT
23 FALLON DRIVE
NORTH HAVEN CT 06473-1829

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2017
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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