FORM 1023-EZ for KINGS CARE FOUNDATION

Field Data
EIN 83-4066826
Case Number EO-2019084-000324
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KINGS CARE FOUNDATION
Organization’s Mailing Address 1488 CRANBROOK DR
City SAGINAW
State MI
ZIP 48638
Accounting period End 12
Primary contact name ROGER J PASIONEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ENDYSEN AFAMEFUNA ATU
PRESIDENT CEO DIRECTOR
11509 INDIAN SCHOOL RD
ALBUQUERQUE NM 87112

Officer/Director/Trustee Two

ANNA ROGERS
VICE PRESIDENT DIRECTOR
10 ERICA RD
SANTA FE NM 87507

Officer/Director/Trustee Three

ROGER PASIONEK
SECRETARY TREASURER DIRECTOR
1488 CRANBROOK DR
SAGINAW MI 48638

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/19
Organization Incorporation State MI
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: Yes
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 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROGER PASIONEK
Signature Title SECRETARY TREASURER DIRECTOR
Signature Date 3/21/19

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