FORM 1023-EZ for CARRY ME HOME INC

Field Data
EIN 86-3453683
Case Number EO-2021141-000831
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARRY ME HOME INC
Organization’s Mailing Address 5787 LITTLE SHAY DRIVE
City FONTANA
State CA
ZIP 92336
Accounting period End 12
Primary contact name CATHY CHUA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIA CATHERINE CHUA
DIRECTOR
5787 LITTLE SHAY DRIVE
FONTANA CA 92336

Officer/Director/Trustee Two

FERNANDO DIALA
DIRECTOR
5787 LITTLE SHAY DRIVE
FONTANA CA 92336

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
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 MARIA CATHERINE CHUA
Signature Title DIRECTOR
Signature Date 5/19/2021

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