FORM 1023-EZ for ORPHAN CARE

Field Data
EIN 47-3541183
Case Number EO-2015112-000096
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ORPHAN CARE
Organization’s Mailing Address 44121 HARRY BYRD HWY SUITE 180
City ASHBYRN
State VA
ZIP 20147-5667
Accounting period End 12
Primary contact name YUSUF A KHEIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

YUSUF KHEIRE
TREASURER
21687 CHANNING CT
ASHBURN VA 20147-5847

Officer/Director/Trustee Two

ANAB ALI
PRESIDENT
21687 CHANNING CT
ASHBURN VA 20147-5847

Officer/Director/Trustee Three

HODAN ABDI
DIRECTOR
601 WEST BROAD STREET
RICHMOND VA 23219-1889

Officer/Director/Trustee Four

SARA SMITH
SECRETARY
400 LAKEVILLE FARM LANE
BOYCE VA 22620-1890

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2015
Organization Incorporation State VA
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: 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 Yes
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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