FORM 1023-EZ for FAIRFIELD CARES INC

Field Data
EIN 83-2833334
Case Number EO-2019128-000259
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAIRFIELD CARES INC
Organization’s Mailing Address 2140 227TH ST
City FAIRFIELD
State IA
ZIP 52556
Accounting period End 12
Primary contact name FREDERICK SWARTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER HAMILTON
DIRECTOR
2140 227TH ST
FAIRFIELD IA 52556

Officer/Director/Trustee Two

MICHAEL PORTER
DIRECTOR
2197 236TH ST
FAIRFIELD IA 52556

Officer/Director/Trustee Three

CHARLES SPENCER
DIRECTOR
503 W CARPENTER
FAIRFIELD IA 52556

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/18
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JENNIFER HAMILTON
Signature Title DIRECTOR
Signature Date 5/6/19

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