FORM 1023-EZ for CARING HEARTS ADULT DAYCARE

Field Data
EIN 84-1352258
Case Number EO-2017285-000289
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARING HEARTS ADULT DAYCARE
Organization’s Mailing Address 1980 NEWARK ST
City AURORA
State CO
ZIP 80010-2630
Accounting period End 7
Primary contact name BRENDA HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRENDA HILL
OWNER/OPERATOR
1980 NEWARK ST
AURORA CO 80010

Officer/Director/Trustee Two

WELTON WILLIAMS
VICE PRESIDENT
1980 NEWARK ST
AURORA CO 80010-2630

Officer/Director/Trustee Three

CARLOS DELAUNE
SECY
1980 NEWARK ST
AURORA CO 80010-2630

Organization’s website
Organization’s email CARINGHEARTSADULT@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/1996
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P73 - Group Home (Long Term)
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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