FORM 1023-EZ for CAAMD ADULT FAMILY SERVICES INC

Field Data
EIN 82-2552697
Case Number EO-2017265-000285
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAAMD ADULT FAMILY SERVICES INC
Organization’s Mailing Address PO BOX 39471
City INDIANAPOLIS
State IN
ZIP 46239
Accounting period End 6
Primary contact name LAQUISHA LLOYD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KINGSLEY MAITLAND
CHAIRMAN
PO BOX 55125
INDIANAPOLIS IN 46205

Officer/Director/Trustee Two

LAQUISHA LLOYD
PRESIDENT
PO BOX 39471
INDIANAPOLIS IN 46239

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2017
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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
Signature Title
Signature Date

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